Provider Demographics
NPI:1457358533
Name:HOSPICECARE IN THE BERKSHIRES, INC.
Entity type:Organization
Organization Name:HOSPICECARE IN THE BERKSHIRES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-443-2994
Mailing Address - Street 1:877 SOUTH ST
Mailing Address - Street 2:STE 1W
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-8242
Mailing Address - Country:US
Mailing Address - Phone:413-443-2994
Mailing Address - Fax:413-443-7814
Practice Address - Street 1:877 SOUTH ST
Practice Address - Street 2:STE 1W
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-8242
Practice Address - Country:US
Practice Address - Phone:413-443-2994
Practice Address - Fax:413-443-7814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERKSHIRE HEALTHCARE SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-05
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7229251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0605298Medicaid
MA064OtherLICENSE AS HOSPICE
MA22-1531Medicare ID - Type UnspecifiedHOSPICE PROVIDER NUMBER