NPIMap

Organization Active NPI

Berkshire Extended Care Services Inc

Doing business as Kimball Farms Nursing Care Center

  • Skilled Nursing Facility
  • Lenox, MA
National Provider Identifier
1659447019
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0CUS Issued in MA
Legal business name
BERKSHIRE EXTENDED CARE SERVICES INC
Doing business as
Kimball Farms Nursing Care Center
Practice address
40 Sunset Ave
Lenox, MA 01240-2018
Phone
(413) 637-5011
Fax
(413) 637-0849
NPI assigned
Nov 28, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Mr. William C Jones Jr.
Title
President
Phone
(413) 447-2996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0CUS MA Primary

Addresses

Primary practice location

40 Sunset Ave
Lenox, MA 01240-2018

Mailing address

40 Sunset Ave
Lenox, MA 01240-2018
Phone (413) 637-5011

Other identifiers 1

IdentifierTypeStateIssuer
0926256MedicaidMA

Other names 1

  • Kimball Farms Nursing Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000450 MA Part A Provider - Skilled Nursing Facility 8527225945 Practice locations: Lenox, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659447019. Details of each certification follow.

Skilled nursing facility certification: CCN 225764

Legal name
BERKSHIRE EXTENDED CARE SERVICES INC
Doing business as
KIMBALL FARMS NURSING CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 6, 2002
Last certification
Aug 15, 2024
Beds
74
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Integritis Healthcare
Organization structure
CorporationNon-profit
Enrollment address
40 Sunset Ave
Lenox, MA 01240-2018
Nursing home name
KIMBALL FARMS NURSING CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kimball Farms Nursing Care CenterCCN 225764 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 6, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7469.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
22D1002230Kimball Farms Nursing Care Center40 Sunset Avenue, Lenox, MA 01240Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Integritus Healthcare Management Services Inc Organization, Pittsfield, MA Non-profit, Chain home office Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Marcie Jo Gingras Individual Corporate OfficerClerk Dec 13, 2021
Adp of the SNF Feb 1, 2022
William Kittler Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
William C Jones Individual Corporate Director Dec 31, 2009
Adp of the SNF Feb 1, 2022
Berkshire Retirement Community Inc Organization, Pittsfield, MA Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2001 100%
Operational/Managerial Control Feb 1, 2022
Adp of the SNF Mar 26, 2025
Thomas Consolati Individual Adp of the SNF Feb 1, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1659447019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUNSET AVE",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402018",
            "telephone_number": "413-637-5011",
            "fax_number": "413-637-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUNSET AVE",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402018",
            "telephone_number": "413-637-5011",
            "fax_number": "413-637-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE EXTENDED CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-447-2996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0CUS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926256",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimball Farms Nursing Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenox, MA

Sources for this page

Verify at the official NPI Registry.