Provider Demographics
NPI:1386683019
Name:BERKS NURSING HOME, INC
Entity Type:Organization
Organization Name:BERKS NURSING HOME, INC
Other - Org Name:BERKSHIRE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 EAS STATE STREET
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:5501 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-3633
Practice Address - Country:US
Practice Address - Phone:610-779-0600
Practice Address - Fax:610-370-9688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA044502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
30017802OtherAMERIHEALTH MERCY
0005699000OtherIBC-MANAGED CARE
71-01331OtherUNITED-EVERCARE
PA0014861370001Medicaid
39-5938OtherCAPITAL BC
317134OtherUS FAMILY HEALTH PLAN
43319OtherGEISINGER HEALTH PLANS
486449OtherAETNA-HMO
0005699000OtherAMERIHEALTH-MANAGED CARE
0005699000OtherIBC-TRADITIONAL
0005699000OtherAMERIHEALTH-TRADITIONAL
=========OtherHCPC
486449OtherAETNA-HMO
71-01331OtherUNITED-EVERCARE
PA0014861370001Medicaid