NPI 1699762898 · live from the CMS NPI Registry
Berkeley Retirement Home
Skilled Nursing Facility in Lawrence, MA. National Provider Identifier 1699762898, active.
NPI record
| NPI | 1699762898 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 150 Berkeley Street, Lawrence, MA 01841 |
| Practice phone | 978-682-1614 |
| Enumerated | October 3, 2005 |
| Last updated | September 14, 2015 |
| Authorized official | James Dillon, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | 871 (MA) |
| Skilled Nursing Facility primary | 314000000X | 0802 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.