Pinewood Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

33 Issued in ID

Legal business name

PINEWOOD HEALTHCARE LLC

Practice address

2514 N 7TH St
Coeur D Alene, ID 83814-3720

Phone

(208) 664-8128

Fax

(208) 765-0505

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mason A. Hunter

Title

Manager

Phone

(208) 664-8128

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coeur d'Alene Health Care and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1073550489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 N 7TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143720",
            "telephone_number": "208-664-8128",
            "fax_number": "208-765-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 N 7TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143720",
            "telephone_number": "208-664-8128",
            "fax_number": "208-765-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-664-8128"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073550489",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coeur d'Alene Health Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Katherine Pierce, R.N.
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• Rachel Marie Pierson, PA
• Jennifer Pike
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• Dean Stanley Piovesan, LCPC
• Corynn Pittman
• Heaven Pittman

• Skilled Nursing Facility in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.