SRC PITTSFIELD, LLC (NPI# 1861866527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861866527 |
| Entity Type | Organization |
| Organization Name | SRC PITTSFIELD, LLC |
| Practice Address |
140 Melbourne Rd Pittsfield MA 01201-8533 |
| Mailing Address |
63 Kendrick St Needham MA 02494-2708 |
| Practice Telephone | 4134991992 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | TAMILYN LEVIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7817079510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SRC PITTSFIELD, LLC | 63 Kendrick Street, Needham, MA 02494 |
| Street Address |
140 MELBOURNE RD |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922271451 | Epoch Assisted Living of Melbourne, LLC | Assisted Living Facility | 140 Melbourne Rd, Pittsfield, MA 01201-8533 | 2008-04-04 |
| 1700421948 | Src Pittsfield Op, LLC | Assisted Living Facility | 140 Melbourne Rd, Pittsfield, MA 01201-8533 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790163160 | Rosewood Homestyle Assist Living Inc | Assisted Living Facility | 320 Onota St, Pittsfield, MA 01201-3161 | 2015-05-18 |
| 1063849107 | Alexander Inn, LLC | Assisted Living Facility | 33 George St, Pittsfield, MA 01201-6712 | 2013-10-03 |
| 1922271451 | Epoch Assisted Living of Melbourne, LLC | Assisted Living Facility | 140 Melbourne Rd, Pittsfield, MA 01201-8533 | 2008-04-04 |
| 1437341013 | Vintage Hill, LLC | Assisted Living Facility | 10 Berry Ave, Pittsfield, NH 03263-3400 | 2007-08-16 |
| 1790801652 | Jacs Ops Iv, Inc. | Assisted Living Facility | 140 Melbourne Road, Pittsfield, MA 01201 | 2007-03-22 |
| 1366573271 | Side By Side Assisted Living | Assisted Living Facility | 120 Onota St, Pittsfield, MA 01201-3135 | 2007-03-09 |
| 1700421948 | Src Pittsfield Op, LLC | Assisted Living Facility | 140 Melbourne Rd, Pittsfield, MA 01201-8533 | 2019-11-12 |
| 1932540887 | Pittsfield Community Care LLC | Assisted Living Facility | 554 N Main St, Pittsfield, ME 04967-3703 | 2013-07-08 |
| 1346471836 | Pittsfield Community Home, LLC | Assisted Living Facility | 554 N Main St, Pittsfield, ME 04967-3703 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396370649 | Roderick Family LLC | Assisted Living Facility | 46 Lincoln St, Winthrop, MA 02152-2151 | 2020-03-06 |
| 1093355083 | Naafay, LLC | Assisted Living Facility | 265 Bear Hill Rd, North Andover, MA 01845-2115 | 2020-01-08 |
| 1184284705 | Erlin Manor Assisted Living, Inc. | Assisted Living Facility | 10b Erlin Ter, Tewksbury, MA 01876-2685 | 2019-06-17 |
| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1023516465 | D'youville Leadership Solutions | Assisted Living Facility | 1085 Varnum Ave, Lowell, MA 01854-1133 | 2018-01-31 |
| 1457868622 | B-x Worcester LLC | Assisted Living Facility | 340 May St, Worcester, MA 01602-1800 | 2018-01-09 |
| 1841707098 | B-x Agawam LLC | Assisted Living Facility | 153 Cardinal Dr, Agawam, MA 01001-2182 | 2018-01-09 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1558876060 | Belchertown Heights Alf Lp | Assisted Living Facility | 99 Front Street, Belchertown, MA 01007 | 2017-12-06 |
| 1265962658 | Wincare LLC | Assisted Living Facility | 704 Beaver St, Waltham, MA 02452-5648 | 2017-06-18 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.