Healthcare Provider Details

I. General information

NPI: 1356354351
Provider Name (Legal Business Name): BEAR HILL NURSING CENTER ,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NORTH ST
STONEHAM MA
02180-1040
US

IV. Provider business mailing address

11 NORTH ST
STONEHAM MA
02180-1040
US

V. Phone/Fax

Practice location:
  • Phone: 781-438-8515
  • Fax: 781-279-4730
Mailing address:
  • Phone: 781-438-8515
  • Fax: 781-279-4730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0861
License Number StateMA

VIII. Authorized Official

Name: MR. WILLIAM E RING JR.
Title or Position: ADMINISTRATOR
Credential:
Phone: 781-438-8515