MEDICARE: BERKSHIRE HOME HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1932753613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERKSHIRE HOME HEALTH, INC

Provider Business Mailing Address
First Line	:	9725 E HAMPDEN AVE STE 103
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4916
Country	:	US
Telephone Number	:	720-372-7890
Fax Number	:

Provider Business Practice Location Address
First Line	:	9725 E HAMPDEN AVE STE 103
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4916
Country	:	US
Telephone Number	:	720-372-7890
Fax Number	:	303-502-5369

Authorized Official
Title or Position	:	CEO
Name	:	ANASTASIYA MERKHASINA
Credential	:
Telephone Number	:	720-372-7890

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	07/30/2019

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