Berkeley House Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BERKELEY HOUSE INC.

Practice address

817 Elder St NW
Washington, DC 20012-2323

Phone

(240) 305-2723

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Franklin Hekima Jackson, MBA, DDA CERT-MARYLA

Title

Owner

Phone

(240) 305-2723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1982202271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 ELDER ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122323",
            "telephone_number": "240-305-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 ELDER ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122323",
            "telephone_number": "240-305-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "HEKIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-305-2723",
        "authorized_official_credential": "MBA, DDA CERT-MARYLA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Thomas Bering, M.D.
• Edith Berinyuy
• Ahna Claire Berk
• Steven Berk, D.D.S.
• Noureddine Berka, PH.D., D(ABHI)
• Anne Berkeley, ND
• Sara Elizabeth Berkey, M.D.
• Cheryl Berkley
• Christine Kunkel Berkley, M.D.
• Nancy Berkley

• All providers in Washington, DC
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.