Berkeley Pines Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

47959499 Issued in CA

Legal business name

BERKELEY PINES CARE CENTER, INC.

Practice address

2223 Ashby Ave
Berkeley, CA 94705-1907

Phone

(510) 649-6670

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

A. T. ASSOCIATES INC.As reported in NPPES

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

Authorized official

Name

Alba Tiller

Title

President

Phone

(925) 808-6540

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1578675997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 WILLOW WAY",
            "address_2": "SUITE 264",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205723",
            "telephone_number": "925-808-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051907",
            "telephone_number": "510-649-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY PINES CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A. T. ASSOCIATES INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "ALBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-808-6540"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "47959499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05892K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berkeley Holistic Therapy, a Marriage and Family Therapy Corporation
• Berkeley Mental Health
• Berkeley Orthopaedic Medical Group, Inc.
• Berkeley Pediatric Medical Group, Inc.
• Berkeley Physical Therapy Inc
• Berkeley Pines Skilled Nursing Group, Inc.
• Berkeley Primary Care Medical Corporation
• Berkeley Therapy Institute
• Berkeley Unified School District
• Berkeley Urgent Care

• Skilled Nursing Facility in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.