Organization Active NPI

Berkshire Retirement Home, Inc.

Doing business as Berkshire Place

  • Skilled Nursing Facility
  • Pittsfield, MA
National Provider Identifier
1942391461
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0742 Issued in MA
Legal business name
BERKSHIRE RETIREMENT HOME, INC.
Doing business as
Berkshire Place
Practice address
290 South St
Pittsfield, MA 01201-6824
Phone
(413) 445-4056
Fax
(413) 997-3923
NPI assigned
Sep 28, 2006
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Mr. Edward Forfa
Title
Administrator
Phone
(413) 445-4056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0742 MA Primary

Addresses

Primary practice location

290 South St
Pittsfield, MA 01201-6824

Mailing address

290 South St
Pittsfield, MA 01201-6824
Phone (413) 445-4056

Other names 1

  • Berkshire Place Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030212000023 MA Part A Provider - Skilled Nursing Facility 2264341866 Practice locations: Pittsfield, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942391461. Details of each certification follow.

Skilled nursing facility certification: CCN 225762

Legal name
BERKSHIRE RETIREMENT HOME INC
Doing business as
BERKSHIRE PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 29, 2001
Last certification
Oct 28, 2024
Beds
54
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1990 in MA
Enrollment address
290 South St
Pittsfield, MA 01201-6824
Nursing home name
BERKSHIRE PLACE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Berkshire PlaceCCN 225762 · 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
Ownership
Non profit - Corporation
Certified
Oct 29, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5450.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

290 South St
Pittsfield, MA 01201
Phone (413) 445-4056

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Elizabeth a Kirby Individual Corporate Director Mar 9, 2006
Nelson Furlano Individual Corporate DirectorBoard Member Oct 1, 2013
Dorothy Mara Individual Corporate Director Mar 9, 2006
Berkshire Retirement Home Inc Organization, Pittsfield, MA Non-profit 5% Or Greater Direct Ownership Interest Jun 25, 1986 100%
Shelley Guyette Individual Corporate DirectorBoard Member Oct 1, 2012
Mark Gilligan Individual Corporate DirectorBoard Member Oct 18, 2018
Edward a Forfa Individual Corporate Director Feb 12, 2003
W-2 Managing Employee Jan 1, 1986
Craig Kahn Individual Corporate DirectorBoard Member Oct 24, 2021
Vincent P Marinaro Individual Corporate DirectorBoard Member Oct 20, 2011
Jacqueline McNinch Individual Corporate DirectorBoard Member Oct 24, 2021
John W Murphy Individual Corporate DirectorBoard Member Jan 1, 2018
Mark McKenna Individual Corporate DirectorBoard Member Jun 12, 2024
Richard Herrick Individual Corporate Director Oct 24, 2007

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1942391461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016824",
            "telephone_number": "413-445-4056",
            "fax_number": "413-997-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016824",
            "telephone_number": "413-445-4056",
            "fax_number": "413-997-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "FORFA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-445-4056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkshire Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.