Active NPI
Berkshire Retirement Home, Inc.
Doing business as Berkshire Place
- Skilled Nursing Facility
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0742
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Oct 29, 2001
- Medicare certification status
- Active
- Certified beds
- 54
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth a Kirby | Corporate Director | Mar 9, 2006 | |
| Nelson Furlano | Corporate Director | Oct 1, 2013 | |
| Dorothy Mara | Corporate Director | Mar 9, 2006 | |
| Berkshire Retirement Home Inc | 5% Or Greater Direct Ownership Interest | Jun 25, 1986 | 100% |
| Shelley Guyette | Corporate Director | Oct 1, 2012 | |
| Mark Gilligan | Corporate Director | Oct 18, 2018 | |
| Edward a Forfa | Corporate Director | Feb 12, 2003 | |
| W-2 Managing Employee | Jan 1, 1986 | ||
| Craig Kahn | Corporate Director | Oct 24, 2021 | |
| Vincent P Marinaro | Corporate Director | Oct 20, 2011 | |
| Jacqueline McNinch | Corporate Director | Oct 24, 2021 | |
| John W Murphy | Corporate Director | Jan 1, 2018 | |
| Mark McKenna | Corporate Director | Jun 12, 2024 | |
| Richard Herrick | 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.
-
- Occupational Therapist
- Schenectady, NY
- NPI 1194112441
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1659344596
Nursing home
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
- Berkshire Plastic Surgeons, LLC
- Berkshire Podiatry, PC
- Berkshire Prosthetic and Restorative Dentistry
- Berkshire Radiation Oncology PC
- Berkshire Regional Planning Commission
- Berkshire Surgical Associates, PC
- Berkshire Therapy Works, Inc.
- Berkshire Urological Associates, PC
- Mary Bernardo
- James Edward Bernhard, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.