NPIMap

Organization Active NPI

At Home With Berkshire Place

  • In Home Supportive Care Agency
  • Pittsfield, MA
National Provider Identifier
1134586902
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8128 Issued in MA
Legal business name
AT HOME WITH BERKSHIRE PLACE
Practice address
290 South St
Pittsfield, MA 01201-6824
Phone
(413) 445-4056
Fax
(413) 997-3923
NPI assigned
Jan 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward Forfa
Title
Executive Director
Phone
(413) 445-4056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8128 MA Primary

Addresses

Primary practice location

290 South St
Pittsfield, MA 01201-6824

Mailing address

290 South St
Pittsfield, MA 01201-6824
Phone (413) 445-4056

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1134586902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016824",
            "telephone_number": "413-445-4056",
            "fax_number": "413-997-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016824",
            "telephone_number": "413-445-4056",
            "fax_number": "413-997-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME WITH BERKSHIRE PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "FORFA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-445-4056"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MA",
            "license": "8128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.