1457358533 NPI number — HOSPICECARE IN THE BERKSHIRES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457358533 NPI number — HOSPICECARE IN THE BERKSHIRES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPICECARE IN THE BERKSHIRES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457358533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
877 SOUTH ST
Provider Second Line Business Mailing Address:
STE 1W
Provider Business Mailing Address City Name:
PITTSFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01201-8242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-443-2994
Provider Business Mailing Address Fax Number:
413-443-7814

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
877 SOUTH ST
Provider Second Line Business Practice Location Address:
STE 1W
Provider Business Practice Location Address City Name:
PITTSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01201-8242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-443-2994
Provider Business Practice Location Address Fax Number:
413-443-7814
Provider Enumeration Date:
07/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CHAPPELL
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
413-443-2994

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  7229 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0605298 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 064 . This is a "LICENSE AS HOSPICE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com