BERKSHIRE MANOR INC NPI 1073663274

NPI Information

  • NPI: 1073663274
  • Provider Name: BERKSHIRE MANOR INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 2820 BERKSHIRE DR
    SAN BRUNO, CA
    ZIP 94066
  • Phone: (650) 544-8999

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NPI Details

BERKSHIRE MANOR INC is an intermediate care facility mentally retarded in San Bruno, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BERKSHIRE MANOR INC NPI is 1073663274. The provider is registered as an organization entity type.

The provider's business location address is:

2820 BERKSHIRE DR
SAN BRUNO, CA
ZIP 94066-754
Phone: (650) 544-8999
Fax: (650) 347-8887

The provider's authorized official is Julie G Albero .
The authorized official title is Director and has the following contact phone number (650) 544-8999.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155 G499OTHERCALIFORNIAMEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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