NPIMap

Organization Active NPI

Berkshire Medical Center, Inc.

  • Home Health Agency
  • Pittsfield, MA
National Provider Identifier
1205948973
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
VQKK Issued in 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
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BERKSHIRE MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

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

Specialties & licenses 1

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

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 3

IdentifierTypeStateIssuer
110122OtherMABLUE SHIELD
0602515MedicaidMA
0608726MedicaidMA

Other names 1

  • BERKSHIRE VISITING NURSE ASSOCIATION Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205948973. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
165 Tor Court
Pittsfield, MA 01201-3001
HHA Branch

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Berkshire Visiting Nurse AssociationCCN 227122 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 6, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0972167Berkshire Medical Center Cancer & Infusion Center165 Tor Court, 1St Floor, Pittsfield, MA 01201AccreditationFeb 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Medical Center13 organizations share this tax ID, including this one
Part of
Berkshire Medical Center

Other organizations with this tax ID 12

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

Ownership & related parties

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 DirectorDirector Jan 1, 2024
Leticia S E Haynes Individual Corporate DirectorBoard Member Jan 1, 2021
Jeannette Smith Individual Corporate DirectorDirector Jan 1, 2025
Brenda Cadorette Individual Corporate OfficerChief 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 DirectorDirector Aug 9, 2022
Roberta Gale Individual W-2 Managing EmployeeVice President of Integrated Servic Jan 1, 2020
Lisa Lescarbeau Individual Corporate OfficerClerk of Board of Directors Jan 1, 2025
Anakatina Cordon Suffish Individual Corporate DirectorDirector Aug 9, 2022
Kathleen M McCormick Individual Corporate DirectorDirector Jan 1, 2023
Laurie Moffatt Individual Corporate DirectorDirector Jan 1, 2023
Alec R Belman Individual Corporate DirectorDirector Oct 1, 2022
Shaun V. Cusson Individual Corporate DirectorDirector Jan 1, 2024
Albert a Bravo Individual Corporate Director Apr 9, 2019
James Lederer Individual Corporate OfficerChief Medical Officer Jan 13, 2020
Matthew Lauro Individual Corporate DirectorDirector 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 DirectorDirector Jan 1, 2025
Frederick W Puddester Individual Corporate DirectorDirector Jan 1, 2023
Scott St George Individual Corporate OfficerChief Financial Officer Nov 2, 2020
Richard Alcombright Individual Corporate Director Jan 1, 2019
Jason M Bratcher Individual Corporate DirectorDirector Jan 1, 2025
Robert Cella Individual Corporate Director Sep 12, 2017
Darlene M Rodowicz Individual Corporate OfficerChief Executive Officer Jan 1, 2005
Corporate Director Jan 1, 2005

Owners & managing parties with NPI records 12

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

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

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 93

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

View all 93

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.