# BERKELEY SPRINGS CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonerise Berkeley Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386037331
- **Authorized official:** LAWRENCE A PACK (MANAGER)
- **Authorized official phone:** (304) 343-1950

## Contact information

- **Practice address:** 456 AUTUMN ACRES RD, BERKELEY SPRINGS, WV 25411-3202
- **Practice address phone:** (304) 258-3673
- **Practice address fax:** (304) 258-6618
- **Mailing address:** 7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
- **Mailing address phone:** (304) 343-1950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 55 | WV | — |
| 314000000X | Skilled Nursing Facility | 55 | WV | Yes |

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 01/12/2021