Provider Demographics
NPI:1073809844
Name:BERKSHIRE HOME CARE INC
Entity Type:Organization
Organization Name:BERKSHIRE HOME CARE INC
Other - Org Name:PORCHLIGHT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHAFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:413-243-1212
Mailing Address - Street 1:21 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-1633
Mailing Address - Country:US
Mailing Address - Phone:413-243-1122
Mailing Address - Fax:413-243-4215
Practice Address - Street 1:21 HIGH ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-1633
Practice Address - Country:US
Practice Address - Phone:413-243-1122
Practice Address - Fax:413-243-4215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0023203Medicare Oscar/Certification