BERKSHIRE EXTENDED CARE SERVICES INC (NPI# 1659447019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659447019 |
| Entity Type | Organization |
| Organization Name | BERKSHIRE EXTENDED CARE SERVICES INC |
| Other Organization Name | KIMBALL FARMS NURSING CARE CENTER |
| Practice Address |
40 Sunset Ave Lenox MA 01240-2018 |
| Practice Telephone | 4136375011 |
| Practice Fax Number | 4136370849 |
| Mailing Telephone | 4136375011 |
| Mailing Fax Number | 4136370849 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | MR. WILLIAM C JONES JR. (PRESIDENT) |
| Authorized Official Telephone | 4134472996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0CUS | MA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0926256 | 05 |
| Other Name | Type Code |
|---|---|
| Kimball Farms Nursing Care Center | Doing Business As Name - Organization |
| Street Address |
40 SUNSET AVE |
| City | LENOX |
| State | MA |
| Zip Code | 01240-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083952 | Anna Wiegandt | Physical Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240-2018 | 2020-08-11 |
| 1356978191 | Christopher W Morehouse | Physical Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240-2018 | 2020-03-23 |
| 1316426323 | Valerie J Alger | Occupational Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240-2018 | 2018-08-09 |
| 1992234397 | Michelle Dasilva | Occupational Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240 | 2017-06-08 |
| 1831627306 | Daili Rodriguez | Physical Therapist | 40 Sunset Ave, Lenox, MA 01240-2018 | 2017-05-30 |
| 1366979858 | Alexis Marie Stiffler | Occupational Therapist | 40 Sunset Ave, Lenox, MA 01240-2018 | 2017-05-16 |
| 1598153454 | Jennifer Schnopp | Speech-Language Pathologist | 40 Sunset Ave, Lenox, MA 01240-2018 | 2014-12-30 |
| 1649680349 | Lynn Lak | Physical Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240-2018 | 2014-05-02 |
| 1770993719 | Kellie L Harrington | Physical Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240-2018 | 2014-04-29 |
| 1720387194 | Nancy Ambrose | Occupational Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240-2018 | 2011-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431943 | Dr. Glass Lenox Psychiatry, LLC | Clinic/Center | 69 Church Street, Suite 6, Lenox, MA 01240 | 2016-12-08 |
| 1558713065 | Nada Esa | Internal Medicine | 26 Old Stockbridge Rd, P.o 43, Lenox, MA 01240 | 2016-07-08 |
| 1962701367 | Ens Health Care of The Berkshires LLC | In Home Supportive Care | 31a Church Street, Lenox, MA 01240 | 2011-03-24 |
| 1164603718 | Kelly A Clady-giramma | Acupuncturist | Acupuncture Dept., Canyon Ranch, 165 Kemble St., Lenox, MA 01240 | 2007-11-23 |
| 1871707687 | Janet Amadon Richardson | Licensed Practical Nurse | 449 Pittsfield Rd, Premier Home Health, Lenox, MA 01240 | 2007-05-10 |
| 1528111762 | John Allen Miner | Psychiatry & Neurology | 25 Housatonic St, Lenox, MA 01240 | 2007-01-19 |
| 1972692150 | Georgia Bettina Martin | Family Medicine | 55 Pittsfield Rd Ste 12d, Lenox, MA 01240 | 2006-10-12 |
| 1558474338 | Jean R Brown | Social Worker | 25 Housatonic Street, Lenox, MA 01240 | 2006-08-16 |
| 1760902068 | Saarika M Nair | Internal Medicine | 725 North Street, Pittsfield, MA 01240 | 2017-06-27 |
| 1104202118 | Biji Manoj Vengalil | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240 | 2015-08-03 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811988645 | Sisters of Providence Care Centers Inc. | Skilled Nursing Facility | 320 Pittsfield Rd, Lenox, MA 01240-2377 | 2005-11-01 |
| 1184615908 | Lenox Care Center, Inc. | Skilled Nursing Facility | 111 E Van Buren St, Lenox, IA 50851-1142 | 2005-11-01 |
| 1265898969 | Premier Estates 507, LLC | Skilled Nursing Facility | 111 E Van Buren St, Lenox, IA 50851-1142 | 2016-01-11 |
| 1487089066 | Mount Carmel Care Center, Inc. | Skilled Nursing Facility | 320 Pittsfield Rd, Lenox, MA 01240 | 2013-09-13 |
| 1962612739 | Genesis Healthcare | Skilled Nursing Facility | 40 Sunset Ave, Lenox, MA 01240-2018 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1093365322 | Seashore Pointe Rehab Center LLC | Skilled Nursing Facility | Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 | 2019-09-18 |
| 1548813850 | Pleasant Bay of Brewster Rehab Center LLC | Skilled Nursing Facility | 383 South Orleans Road, Brewster, MA 02631 | 2019-07-17 |
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1972039113 | Lutheran Home of Jamaica Plain, Inc. | Skilled Nursing Facility | 174 Forest Hills St, Jamaica Plain, MA 02130-3353 | 2017-05-09 |
| 1033657796 | Regis College | Skilled Nursing Facility | 1 Chase Ln, Lynn, MA 01902-3266 | 2017-02-02 |
| 1174061832 | Regis College | Skilled Nursing Facility | 88 Franklin St, Lynn, MA 01902-4168 | 2017-02-02 |
| 1679010193 | Juliana | Skilled Nursing Facility | 414 Shaw St, Braintree, MA 02184-1226 | 2017-01-22 |
| 1174067052 | Companion Health Services | Skilled Nursing Facility | 284 North St, Boston, MA 02113-2108 | 2016-12-12 |
| 1104276187 | National Healthcare Corporation | Skilled Nursing Facility | 421 Laurel St, Bridgewater, MA 02324-2703 | 2016-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.