Organization Active NPI

Pine Valley Center LLC

  • Skilled Nursing Facility
  • Spring Valley, NY
National Provider Identifier
1184611758
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
207RG0300X Issued in NY
Legal business name
PINE VALLEY CENTER LLC
Practice address
661 N Main St
Spring Valley, NY 10977-2319
Phone
(845) 426-5600
Fax
(845) 352-2704
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Mr. Michael Tropper
Title
Administrator
Phone
(845) 426-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Skilled Nursing Facility 314000000X 207RG0300X NY Primary

Addresses

Primary practice location

661 N Main St
Spring Valley, NY 10977-2319

Mailing address

661 N Main St
Spring Valley, NY 10977-2319
Phone (845) 426-5600

Other identifiers 1

IdentifierTypeStateIssuer
00311082MedicaidNY

Other names 1

  • Pine Valley Center for Rehabilitation and Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000053 NY Part A Provider - Skilled Nursing Facility 0648238899 Practice locations: Spring Valley, NY

Skilled nursing facility certification: CCN 335285

Legal name
PINE VALLEY CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 14, 1969
Last certification
Jul 14, 2023
Beds
160
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 24, 2004 in NY
Enrollment address
661N Main St
Spring Valley, NY 10977-2319
Nursing home name
PINE VALLEY CENTER FOR REHABILITATION AND NURSING
Affiliated entity
UPSTATE SERVICES GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pine Valley Center For Rehabilitation And NursingCCN 335285
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 14, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160154.9 residents per day on average
Chain
Upstate Services Group17 facilities in the chain

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
33D0885711Pine Valley Center for Rehabilitation & Nursing661 N Main Street, Spring Valley, NY 10977Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Uri Koenig Individual 5% Or Greater Direct Ownership InterestMember Dec 22, 2010 22.1%
David Camerota Individual Other Dec 22, 2010 0.1%
Neil Koenig Individual Other Dec 22, 2010 4%
Efraim Steif Individual 5% Or Greater Direct Ownership InterestOwner/Member Dec 22, 2010 49.9%
Operational/Managerial ControlOwner/Member Aug 15, 2017 49.9%
Amy Wuertzer Individual Corporate OfficerDelegated Official Sep 14, 2017
Robert Chambre Individual Other Dec 22, 2010 2.5%
Moshe Koenig Individual Other Dec 22, 2010 2.3%
Lawrence Koenig Individual 5% Or Greater Direct Ownership InterestMember Dec 22, 2010 17.1%
Jack Augenstein Individual Corporate OfficerCfo Jan 15, 2015
Corporate DirectorCfo Jan 15, 2015
David Koenig Individual Other Dec 22, 2010 2%

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 1

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": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1184611758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772319",
            "telephone_number": "845-426-5600",
            "fax_number": "845-352-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772319",
            "telephone_number": "845-426-5600",
            "fax_number": "845-352-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VALLEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "TROPPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-426-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "207RG0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311082",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Valley Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Valley Center for Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.