NPIMap

Berkshire Medical Center, Inc.

Organization Active NPI Home Health Agency · Pittsfield, MA

NPI 1205948973 · NPPES record last updated Jan 18, 2012

Key facts

NPI
1205948973
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
VQKK (MA)
Legal business name
BERKSHIRE MEDICAL CENTER, INC.
Practice address
165 Tor CT
Pittsfield, MA 01201-3001
Phone
(413) 447-2862
Fax
(413) 447-2869
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization (as reported)
BERKSHIRE MEDICAL CENTER INC

Authorized official

Name
Darlene Rodowicz
Title
Cfo
Phone
(413) 447-2809

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 195

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 195

Affiliated clinicians 93

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 93

Medicare Care Compare: Home health agency

Listed as
Berkshire Visiting Nurse Association CCN 227122
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Non-Profit
Certified
Jul 6, 1966
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0972167Berkshire Medical Center Cancer & Infusion Center
165 Tor Court, 1St Floor, Pittsfield, MA 01201		AccreditationFeb 17, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Home health agency certification: CCN 227122

Legal name
BERKSHIRE MEDICAL CENTER INC
Doing business as
BERKSHIRE VISITING NURSE ASSOCIATION
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 6, 1966
Last certification
Jan 8, 2019
Ownership / control type
Non-Profit
Organization structure
Corporation · Non-profit
Enrollment address
165 Tor Court
Pittsfield, MA 01201-3001
HHA Branch

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Hall
Individual 		Corporate Director Jan 1, 2019
Alfred a Barbalunga
Individual 		Corporate Director Sep 12, 2017
Susan Kormanik
Individual 		Corporate Director Jan 1, 2011
Berkshire Medical Center Inc
Organization · Pittsfield, MA
Non-profit 		5% Or Greater Direct Ownership Interest Nov 2, 1990 100%
Deborah Renzi
Individual 		Corporate Director
Director		 Jan 1, 2024
Leticia S E Haynes
Individual 		Corporate Director
Board Member		 Jan 1, 2021
Jeannette Smith
Individual 		Corporate Director
Director		 Jan 1, 2025
Brenda Cadorette
Individual 		Corporate Officer
Chief Nursing Officer		 Jun 5, 2011
Edith Dobelle
Individual 		Corporate Director Sep 12, 2017
BHS Management Services Inc
Organization · Pittsfield, MA
Corporation 		Operational/Managerial Control Oct 1, 1990 100%
David Moresi
Individual 		Corporate Director
Director		 Aug 9, 2022
Roberta Gale
Individual 		W-2 Managing Employee
Vice President of Integrated Servic		 Jan 1, 2020
Lisa Lescarbeau
Individual 		Corporate Officer
Clerk of Board of Directors		 Jan 1, 2025
Anakatina Cordon Suffish
Individual 		Corporate Director
Director		 Aug 9, 2022
Kathleen M McCormick
Individual 		Corporate Director
Director		 Jan 1, 2023
Laurie Moffatt
Individual 		Corporate Director
Director		 Jan 1, 2023
Alec R Belman
Individual 		Corporate Director
Director		 Oct 1, 2022
Shaun V. Cusson
Individual 		Corporate Director
Director		 Jan 1, 2024
Albert a Bravo
Individual 		Corporate Director Apr 9, 2019
James Lederer
Individual 		Corporate Officer
Chief Medical Officer		 Jan 13, 2020
Matthew Lauro
Individual 		Corporate Director
Director		 Jan 1, 2025
Berkshire Health System Inc
Organization · Pittsfield, MA
Non-profit 		5% Or Greater Indirect Ownership Interest Nov 2, 1990 100%
Edmund H Hornstein
Individual 		Corporate Director Apr 9, 2019
Ashley Benson
Individual 		Corporate Director
Director		 Jan 1, 2025
Frederick W Puddester
Individual 		Corporate Director
Director		 Jan 1, 2023
Scott St George
Individual 		Corporate Officer
Chief Financial Officer		 Nov 2, 2020
Richard Alcombright
Individual 		Corporate Director Jan 1, 2019
Jason M Bratcher
Individual 		Corporate Director
Director		 Jan 1, 2025
Robert Cella
Individual 		Corporate Director Sep 12, 2017
Darlene M Rodowicz
Individual 		Corporate Officer
Chief Executive Officer		 Jan 1, 2005
Corporate Director Jan 1, 2005

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Berkshire Medical Center Inc
Pittsfield, MA · CCN 22S046		 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990
Berkshire Medical Center Inc
Pittsfield, MA · CCN 22T046		 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 1990

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070207000126 MA Part a Provider - Home Health Agency 1355232711 Practice locations: Pittsfield, MA

National Provider Directory

Tax ID family
Berkshire Medical Cente (13 organizations share this tax ID)
Part of
Berkshire Medical Cente

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VQKK MA Yes

Addresses

Primary practice location

165 Tor CT
Pittsfield, MA 01201-3001

Mailing address

PO Box 2309
Pittsfield, MA 01202-2309
Phone (413) 447-2862

Other identifiers

IdentifierTypeStateIssuer
110122OtherMABLUE SHIELD
0602515MedicaidMA
0608726MedicaidMA

Other names

  • BERKSHIRE VISITING NURSE ASSOCIATION Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2012.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1205948973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2309",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012022309",
            "telephone_number": "413-447-2862",
            "fax_number": "413-447-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 TOR CT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013001",
            "telephone_number": "413-447-2862",
            "fax_number": "413-447-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE MEDICAL CENTER INC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "RODOWICZ",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "413-447-2809"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "VQKK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "110122",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602515",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0608726",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERKSHIRE VISITING NURSE ASSOCIATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsfield, MA

All providers in Pittsfield, MA · Home Health Agency in Massachusetts

Sources for this page

Verify at the official NPI Registry.