Provider Demographics
NPI:1639980345
Name:BEECHWOOD SNF OPCO LLC
Entity type:Organization
Organization Name:BEECHWOOD SNF OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:A
Authorized Official - Last Name:DENNEHY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:978-886-3336
Mailing Address - Street 1:31 VAUXHALL ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-5723
Mailing Address - Country:US
Mailing Address - Phone:860-442-4363
Mailing Address - Fax:860-447-3749
Practice Address - Street 1:31 VAUXHALL ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-5723
Practice Address - Country:US
Practice Address - Phone:860-442-4363
Practice Address - Fax:860-447-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility