PINE KNOLL NURSING HOME, INC (NPI# 1225000383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225000383 |
| Entity Type | Organization |
| Organization Name | PINE KNOLL NURSING HOME, INC |
| Other Organization Name | PINES REHABILITATION & HEALTH CENTER |
| Practice Address |
601 Red Village Rd Lyndonville VT 05851-9068 |
| Mailing Address |
601b Red Village Rd Lyndonville VT 05851-9068 |
| Practice Telephone | 8026263890 |
| Practice Fax Number | 8026260983 |
| Mailing Telephone | 8026263890 |
| Mailing Fax Number | 8026260983 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRANCIS E CHENEY JR. (OWNER) |
| Authorized Official Telephone | 8026263890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | VT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0475044 | 05 |
| Other Name | Type Code |
|---|---|
| Pines Rehabilitation & Health Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PINE KNOLL NURSING HOME, INC. | 601 Red Village Road, Lyndonville, VT 05851 |
| Street Address |
601 RED VILLAGE RD |
| City | LYNDONVILLE |
| State | VT |
| Zip Code | 05851-9068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021954 | Bearmt Pines, LLC | Skilled Nursing Facility | 601 Red Village Rd, Lyndonville, VT 05851-9068 | 2018-11-02 |
| 1023298015 | Pines Health and Rehabilitation Center | Skilled Nursing Facility | 601 Red Village Rd, Lyndonville, VT 05851-9068 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877726 | Courtney Marie Daffinrud | Behavioral Analyst | 878 Ridge Road, Kirby, VT 05851 | 2017-01-09 |
| 1467881342 | Michelle Laferriere | Speech-Language Pathologist | 97 Rte 5, Lyndonville, VT 05851 | 2013-11-01 |
| 1114228780 | Kathleen Knights | Naturopath | 277 Main Street, Lyndonville, VT 05851 | 2010-11-12 |
| 1225344963 | Lisa Avery | Physical Therapist | 31 Middle St., Northern Physical Therapy, PC, Lyndonville, VT 05851 | 2010-08-19 |
| 1679706360 | Evita E. Sandoval | Specialist/Technologist | 569 Main Street, Lyndonville, VT 05851 | 2009-08-27 |
| 1356595599 | Horace Oliver Reider | General Practice | 47 Park Ave., Lyndonville, VT 05851 | 2008-11-14 |
| 1780836023 | Alfred J Tomaselli | Counselor | 142 Cornerstone Lane, Lyndonville, VT 05851 | 2008-10-17 |
| 1760601256 | Vermont State Colleges | Family Medicine | Lyndon State College, 1001 College Road, Lyndonville, VT 05851 | 2007-04-24 |
| 1881763779 | Ellen Cf Moore | Counselor | 18 Tulip Street, Lyndonville, VT 05851 | 2006-11-07 |
| 1164509980 | Northern Physical Therapy PC | Clinic/Center | 569 Main St, Lyndonville, VT 05851 | 2006-11-01 |
| Find all providers in zip 05851 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021954 | Bearmt Pines, LLC | Skilled Nursing Facility | 601 Red Village Rd, Lyndonville, VT 05851-9068 | 2018-11-02 |
| 1023298015 | Pines Health and Rehabilitation Center | Skilled Nursing Facility | 601 Red Village Rd, Lyndonville, VT 05851-9068 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831574052 | 2 Blackberry Lane Operations LLC | Skilled Nursing Facility | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-07-29 |
| 1598153322 | Cck Holdings, LLC | Skilled Nursing Facility | 7 Forest Hill Dr, Saint Albans, VT 05478-1615 | 2015-01-01 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1982918843 | Genesis Healthcare Lebanon | Skilled Nursing Facility | 1218 South Randolph Road, Randolph Center, VT 05061 | 2010-08-03 |
| 1679739445 | Lisa Lyn Shover | Skilled Nursing Facility | 63 Spring St, Newport, VT 05855-5819 | 2008-07-31 |
| 1518156603 | Kingdom Kare Rehabilitation Center | Skilled Nursing Facility | Mail Stop # 500, Maple Hill Road, Barton, VT 05822-0500 | 2007-10-15 |
| 1871709741 | Rutland Crossings LLC | Skilled Nursing Facility | 99 Allen Street, Rutland, VT 05701 | 2007-05-15 |
| 1952517823 | Brattleboro Crossings LLC | Skilled Nursing Facility | 187 Oak Grove Avenue, Brattleboro, VT 05301 | 2007-05-15 |
| 1437229283 | Eden Park Management, Inc. | Skilled Nursing Facility | 99 Allen St, Rutland, VT 05701-4501 | 2006-11-09 |
| 1093885840 | Eden Park Management, Inc. | Skilled Nursing Facility | 187 Oak Grove Ave, Brattleboro, VT 05301-6642 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | LYNDONVILLE |
| Zip Code | 05851 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.