Healthcare Provider Details

I. General information

NPI: 1821955089
Provider Name (Legal Business Name): THE BENJAMIN HEALTHCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 FISHER AVE
BOSTON MA
02120-3320
US

IV. Provider business mailing address

120 FISHER AVE
BOSTON MA
02120-3320
US

V. Phone/Fax

Practice location:
  • Phone: 617-738-1500
  • Fax:
Mailing address:
  • Phone: 617-738-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN KURLAND
Title or Position: MANAGER
Credential:
Phone: 732-592-2205