Provider Demographics
NPI:1356354351
Name:BEAR HILL NURSING CENTER ,INC
Entity type:Organization
Organization Name:BEAR HILL NURSING CENTER ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:RING
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:781-438-8515
Mailing Address - Street 1:11 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1040
Mailing Address - Country:US
Mailing Address - Phone:781-438-8515
Mailing Address - Fax:781-279-4730
Practice Address - Street 1:11 NORTH ST
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1040
Practice Address - Country:US
Practice Address - Phone:781-438-8515
Practice Address - Fax:781-279-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0861314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2222527201OtherBLUE CROSS BLUE SHIELD
MA0914363Medicaid
MA803949OtherTUFTS
MA0914363Medicaid