Provider Demographics
NPI:1003141094
Name:BERKSHIRE RETIREMENT COMMUNITY INC
Entity Type:Organization
Organization Name:BERKSHIRE RETIREMENT COMMUNITY INC
Other - Org Name:KIMBALL FARMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:413-447-2996
Mailing Address - Street 1:235 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2762
Mailing Address - Country:US
Mailing Address - Phone:413-637-7000
Mailing Address - Fax:413-637-7277
Practice Address - Street 1:235 WALKER ST
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2762
Practice Address - Country:US
Practice Address - Phone:413-637-7000
Practice Address - Fax:413-637-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility