Provider Demographics
NPI:1710359161
Name:BSL- BN COMMONS SNF OPERATOR LLC
Entity Type:Organization
Organization Name:BSL- BN COMMONS SNF OPERATOR LLC
Other - Org Name:BENCHMARK SENIOR LIVING AT THE COMMONS IN LINCOLN, SKILLED NURSING FAC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL/LLC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:GRAPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-489-7100
Mailing Address - Street 1:201 JONES RD
Mailing Address - Street 2:SUITE 300 WEST
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1600
Mailing Address - Country:US
Mailing Address - Phone:781-489-7100
Mailing Address - Fax:
Practice Address - Street 1:3 HARVEST CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-3214
Practice Address - Country:US
Practice Address - Phone:781-430-6000
Practice Address - Fax:781-439-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility