Pine Run Village Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PINE RUN VILLAGE INC.

Practice address

777 Ferry Rd
Doylestown, PA 18901-2102

Phone

(215) 345-9000

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Krieger

Title

SVP Risk, Compliance and Business D

Phone

(484) 619-4116

Specialties & licenses 1

Addresses

Other names 1

• Pine Run Village Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395366C

Legal name

PINE RUN VILLAGE, INC

Doing business as

PRESBYTERIAN SENIOR LIVING

Organization structure

OtherNon-profit

Incorporated

Apr 10, 2023 in PA

Enrollment address

777 Ferry Road
Doylestown, PA 18901-2102

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 22

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Cathedral Village

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1134123730

  Phi

  CMS ownership
• Presbyterian Homes in the Presbytery of Huntingdon

  • Skilled Nursing Facility
  • Huntingdon, PA
  • NPI 1285628404

  Phi

  CMS ownership
• Presbyterian Homes in the Presbytery of Huntingdon

  • Skilled Nursing Facility
  • Hollidaysburg, PA
  • NPI 1710971932

  Phi

  CMS ownership
• Presbyterian Homes Inc

  • Skilled Nursing Facility
  • Bethlehem, PA
  • NPI 1164416491

  Phi

  CMS ownership
• Presbyterian Homes Inc

  • Skilled Nursing Facility
  • Indiana, PA
  • NPI 1861486003

  Phi

  CMS ownership
• Presbyterian Homes Inc.

  • Skilled Nursing Facility
  • Newville, PA
  • NPI 1548254790

  Phi

  CMS ownership
• Presbyterian Homes Inc.

  • Skilled Nursing Facility
  • Oxford, PA
  • NPI 1598759748

  Phi

  CMS ownership
• Quincy Retirement Community

  • Skilled Nursing Facility
  • Waynesboro, PA
  • NPI 1366434284

  Phi

  CMS ownership
• Presbyterian Homes Inc.

  • Skilled Nursing Facility
  • Dover, DE
  • NPI 1306830625

  Phi

  CMS ownership
• Presbyterian Senior Living Services, Inc.

  • Skilled Nursing Facility
  • Glen Arm, MD
  • NPI 1932193158

  Phi

  CMS ownership

Practitioners 3

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

• Benjamin John Mathews, M.D.

  • Adult Medicine Physician
  • Doylestown, PA
  • NPI 1770725392
  NPD (past)
• Justin Palatt, MD

  • Family Medicine Physician
  • Doylestown, PA
  • NPI 1356696348
  NPD (past)
• Christa Fiona Patrick, D.O.

  • Family Medicine Physician
  • Abington, PA
  • NPI 1316488893
  NPD (past)

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1104516681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRINITY DR E",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 FERRY RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012102",
            "telephone_number": "215-345-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RUN VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SVP RISK, COMPLIANCE AND BUSINESS D",
        "authorized_official_telephone_number": "484-619-4116"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Run Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathrine Pickett, M.ED.
• Shaina Elizabeth Pierce, LPC
• Steven Bruce Pierson, M.D
• Pilon Chiropractic, Inc
• Lisa Ann Pilon, D.C.
• Deborah A Pines, MD
• Christopher James Pittelli, M.A., LPC, NCC
• Hope Placotaris, PA-C
• Planned Parenthood Assoc of Bucks County
• Stanley Alan Plotkin, MD

• All providers in Doylestown, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.