NPIMap

Organization Active NPI

Sandisfield Health Group, LLC

Doing business as Berkshire Rehabilitation and Skilled Care Center

  • Skilled Nursing Facility
  • Sandisfield, MA
National Provider Identifier
1679682934
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANDISFIELD HEALTH GROUP, LLC
Doing business as
Berkshire Rehabilitation and Skilled Care Center
Practice address
7 Sandisfield Rd
Sandisfield, MA 01255-9621
Phone
(413) 258-4731
Fax
(413) 258-4116
NPI assigned
Aug 30, 2006
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Ms. Brodie Bozadjian
Title
Regional Office Manager
Phone
(413) 441-5082

Specialties & licenses 1

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

Addresses

Primary practice location

7 Sandisfield Rd
Sandisfield, MA 01255-9621

Mailing address

PO Box 216
Sandisfield, MA 01255-0216
Phone (413) 258-4731

Other identifiers 1

IdentifierTypeStateIssuer
0940038MedicaidMA

Other names 1

  • Berkshire Rehabilitation and Skilled Care Center Doing business as

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
22D1065396Berkshire Rehabilitation & Skilled Care Center7 Sandisfield Rd, Sandisfield, MA 01255Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1679682934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "SANDISFIELD",
            "state": "MA",
            "postal_code": "012550216",
            "telephone_number": "413-258-4731",
            "fax_number": "413-258-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SANDISFIELD RD",
            "city": "SANDISFIELD",
            "state": "MA",
            "postal_code": "012559621",
            "telephone_number": "413-258-4731",
            "fax_number": "413-258-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDISFIELD HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BOZADJIAN",
        "authorized_official_first_name": "BRODIE",
        "authorized_official_title_or_position": "REGIONAL OFFICE MANAGER",
        "authorized_official_telephone_number": "413-441-5082",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0940038",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkshire Rehabilitation and Skilled Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandisfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.