Berlin Enhanced Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BERLIN ENHANCED SENIOR LIVING LLC

Doing business as

Chestnut Place

Practice address

430 Berlin Mall Rd
Berlin, VT 05602-4521

Phone

(802) 223-1351

NPI assigned

Feb 28, 2024

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Moore

Title

Business Manager

Phone

(518) 642-2478

Specialties & licenses 1

Addresses

Other names 1

• Chestnut Place Doing business as

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1659137453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BERLIN MALL RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056024521",
            "telephone_number": "802-223-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BERLIN MALL RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056024521",
            "telephone_number": "802-223-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN ENHANCED SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "518-642-2478"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kay Elizabeth Barrett
• Christian H.G. Bean, M.D.
• Melissa Beaudry
• Ralph Michael Belding, MD
• Marc Belisle
• Christine T Bernardine, RN
• Kate Best, FNP
• Paule Bezaire Dussault, LICSW
• Deborah Naomi Black, MD
• Jared Andrew Blum, M.D.

• Assisted Living Facility in Berlin, VT
• Providers in Berlin, VT by specialty
• Assisted Living Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.