Berkeley Springs Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

55 Issued in WV

Legal business name

BERKELEY SPRINGS CENTER LLC

Practice address

456 Autumn Acres Rd
Berkeley Springs, WV 25411-3202

Phone

(304) 258-3673

Fax

(304) 258-6618

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Lawrence A Pack

Title

Manager

Phone

(304) 343-1950

Specialties & licenses 2

Addresses

Other names 1

• Stonerise Berkeley Springs Doing business as

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1386037331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042935",
            "telephone_number": "304-343-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 AUTUMN ACRES RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113202",
            "telephone_number": "304-258-3673",
            "fax_number": "304-258-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY SPRINGS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-343-1950"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "55",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonerise Berkeley Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey A Beam
• Chelsea Beddow
• Shannon Bennett
• Andrew Joseph Berens, MD
• Berkeley -Morgan County Board of Health
• Berkeley Springs Center LLC
• Berkeley Springs Dentistry
• Berkeley Springs SNF LLC
• Berkeley Springs Surgical Corp., P.C.
• Jai E Birch

• Skilled Nursing Facility in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.