# COUNTY OF BERKS OFFICE OF THE CONTROLLER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berks Heim Nursing & Rehabiliation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053318501
- **Authorized official:** MR. TERENCE BRENNAN (ADMINISTRATOR)
- **Authorized official phone:** (610) 376-4841

## Contact information

- **Practice address:** 1011 BERK RD, BUSINESS OFFICE, LEESPORT, PA 19533-8705
- **Practice address phone:** (610) 376-4841
- **Practice address fax:** (610) 376-9828
- **Mailing address:** 1011 BERK RD, BUSINESS OFFICE, LEESPORT, PA 19533-8705
- **Mailing address phone:** (610) 376-4841
- **Mailing address fax:** (610) 376-9828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 021202 | PA | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 03/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005763100001 | — | PA |