Organization Active NPI

Elder Services of Berkshire County Inc.

  • Case Management Agency
  • Pittsfield, MA
National Provider Identifier
1609993401
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ELDER SERVICES OF BERKSHIRE COUNTY INC.
Practice address
73 S Church Street
Pittsfield, MA 01201
Phone
(413) 499-0524
Fax
(413) 445-5395
NPI assigned
Mar 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Christopher McLaughlin
Title
Executive Director
Phone
(413) 499-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

73 S Church Street
Pittsfield, MA 01201

Mailing address

66 Wendell Ave
Pittsfield, MA 01201-6306
Phone (413) 499-0524

Other identifiers 1

IdentifierTypeStateIssuer
0603686MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209000721 MA Part B Supplier - Clinic/Group Practice 1557896115 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsfield, MA

National Provider Directory

National Provider Directory
Tax ID family
Elder Services of Berkshire County Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1609993401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WENDELL AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016306",
            "telephone_number": "413-499-0524",
            "fax_number": "413-445-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S CHURCH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-499-0524",
            "fax_number": "413-445-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER SERVICES OF BERKSHIRE COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-499-0524"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603686",
            "state": "MA"
        }
    ],
    "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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.