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Organization
BERKSHIRE PLACE LTD.
Active
Organization
BERKSHIRE PLACE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN J BARROSO RN, NHA, BA (ADMINISTRATOR)
(401) 553-8600
Entity
Organization
Contact information
Practice address
455 DOUGLAS AVE, PROVIDENCE, RI 02908-2542
(401) 553-8600
(401) 553-8608
Mailing address
455 DOUGLAS AVE, PROVIDENCE, RI 02908-2542
(401) 553-8600
(401) 553-8608
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
695
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402248
BLUE CHIP
RI
05
—
4105119
—
RI
01
—
50836
BLUE CROSS
RI
01
—
71-00004
UNITED HEALTH
RI
01
—
7101371
EVERCARE
RI
Enumeration date
08/31/2006
Last updated
08/22/2020
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