NPIMap

Organization Active NPI

Berkshire Manor Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Campbell, CA
National Provider Identifier
1972653178
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
BERKSHIRE MANOR INC
Practice address
4868 Roundtree Drive
Campbell, CA 95008
Phone
(408) 871-9888
Fax
(650) 347-8887
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie G Albero
Title
Director
Phone
(650) 544-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

4868 Roundtree Drive
Campbell, CA 95008

Mailing address

2820 Berkshire Drive
San Bruno, CA 94066
Phone (650) 544-8999

Other identifiers 1

IdentifierTypeStateIssuer
55 G507OtherCAMEDICAL

Other names 1

  • Roundtree Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G507

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROUNDTREE HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 16, 2004
Last certification
Nov 19, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
4868 Roundtree Drive
Campbell, CA 95008

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Manor Inc2 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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972653178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BERKSHIRE DRIVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-544-8999",
            "fax_number": "650-347-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 ROUNDTREE DRIVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-871-9888",
            "fax_number": "650-347-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-544-8999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "55 G507",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roundtree Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.