Berkeley Retirement Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0802 Issued in MA

Legal business name

BERKELEY RETIREMENT HOME

Practice address

150 Berkeley Street
Lawrence, MA 01841-1224

Phone

(978) 682-1614

Fax

(978) 686-7170

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James Dillon

Title

Administrator

Phone

(978) 682-1614

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Janarthanan Someswarananthan, MD

  • Internal Medicine Physician
  • Chelmsford, MA
  • NPI 1134212830
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1699762898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BERKELEY STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018411224",
            "telephone_number": "978-682-1614",
            "fax_number": "978-686-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERKELEY STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018411224",
            "telephone_number": "978-682-1614",
            "fax_number": "978-686-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-682-1614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "871",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910678",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110025926A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Bencosme
• Leah Beninato
• Lynne Bennett, L.I.C.S.W
• Theresa Bergazzi
• Jennifer Ann Bergeron, RN
• Barbara L. Berman, APRN
• Lisa Christine Berman, MA
• Eileen Bernau, CNP
• Lauren Bernick
• Josdimarie Berrios

• Skilled Nursing Facility in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.