NPIMap

Organization Active NPI

Pinnacle Group of Hudson Valley LLC

  • Assisted Living Facility
  • Canton, ME
National Provider Identifier
1013396258
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2892 Issued in ME
Legal business name
PINNACLE GROUP OF HUDSON VALLEY LLC
Practice address
26 Pleasant St
Canton, ME 04221-3144
Phone
(207) 597-2510
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Israel Nachfolger
Title
Ceo
Phone
(845) 596-6633

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Clinical Medical Laboratory 291U00000X
Assisted Living Facility 310400000X 2892 ME Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

26 Pleasant St
Canton, ME 04221-3144

Mailing address

3 Villa LN
Monsey, NY 10952-1021
Phone (845) 596-6633

Other names 1

  • PINNACLE HEALTH & REHAB Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160128001318 ME Part A Provider - Skilled Nursing Facility 5395048169 Practice locations: Canton, ME

Skilled nursing facility certification: CCN 205101

Legal name
PINNACLE GROUP OF HUDSON VALLEY LLC
Doing business as
PINNACLE HEALTH & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Jul 31, 2024
Beds
47
Ownership / control type
Corporation
Multi-facility organization
Pinnacle Health of the Hudson Valley
Organization structure
LLCProprietary
Enrollment address
26 Pleasant St
Canton, ME 04221-3144
Nursing home name
PINNACLE HEALTH & REHAB CANTON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pinnacle Health & Rehab CantonCCN 205101
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4738.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0884201Pinnacle Health & Rehab26 Pleasant Street, Canton, ME 04221Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Group of Hudson Valley LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Siva P Sivakumar Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Mar 23, 2025
Pleasant St Realty Organization, Canton, ME LLC Adp of the SNF Jan 1, 2016
Kenneth Huhn Individual Operational/Managerial Control Jul 4, 2023
Adp of the SNF Mar 23, 2025
Miriam Nachfolger Individual General Partnership Interest Dec 31, 2015 1%
Trustee of the SNF Dec 31, 2015
Adp of the SNF Mar 23, 2025
Direct Ownership Interest Dec 31, 2015 1%
Israel Nachfolger Individual 5% Or Greater Direct Ownership Interest Dec 31, 2015 99%
Operational/Managerial Control Dec 31, 2015
Trustee of the SNF Dec 31, 2015
Adp of the SNF Dec 31, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1013396258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VILLA LN",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521021",
            "telephone_number": "845-596-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PLEASANT ST",
            "city": "CANTON",
            "state": "ME",
            "postal_code": "042213144",
            "telephone_number": "207-597-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE GROUP OF HUDSON VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "NACHFOLGER",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-596-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "2892",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINNACLE HEALTH & REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PINNACLE HEALTH & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, ME

Sources for this page

Verify at the official NPI Registry.