Active NPI
Pine Bluff Nursing, LLC
Doing business as Pine Bluff Transitional Care
- Skilled Nursing Facility
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PINE BLUFF NURSING, LLC
- Doing business as
- Pine Bluff Transitional Care
- Practice address
- 6810 S Hazel St
Pine Bluff, AR 71603-7828 - Phone
- (312) 420-8582
- NPI assigned
- May 17, 2023
- Last updated
- May 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zvi Rhine
- Title
- Member
- Phone
- (312) 420-8582
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
6810 S Hazel St
Pine Bluff, AR 71603-7828
Mailing address
6810 S Hazel St
Pine Bluff, AR 71603-7828
Phone (312) 420-8582
Other names 1
- Pine Bluff Transitional Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230822002755 | AR | Part A Provider - Skilled Nursing Facility | 7214390301 | Practice locations: Pine Bluff, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1225729429. Details of each certification follow.
Skilled nursing facility certification: CCN 045379
- Legal name
- PINE BLUFF NURSING, LLC
- Doing business as
- PINE BLUFF TRANSITIONAL CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 19, 2003
- Last certification
- Oct 14, 2024
- Beds
- 177
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 6810 S Hazel St
Pine Bluff, AR 71603-7828 - Nursing home name
- PINE BLUFF TRANSITIONAL CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pine Bluff Transitional Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 19, 2003
- Medicare certification status
- Active
- Certified beds
- 177
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 7
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0689636 | Pine Bluff Nursing LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Asia Colen | Adp of the SNF | Jun 1, 2023 | |
| Zvi Rhine | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| Direct Ownership Interest | Jun 1, 2023 | 1% | |
| Raven Maxwell | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 | ||
| TLC Eretz Management LLC | 5% Or Greater Direct Ownership Interest | Jun 1, 2023 | 100% |
| Operational/Managerial Control | Jun 1, 2023 | ||
| Adp of the SNF | Jan 6, 2025 | ||
| Direct Ownership Interest | Jun 1, 2023 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Monroe Manor
- Skilled Nursing Facility
- Jay, OK
- NPI 1720799653
TLC Eretz Management LLC
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1225729429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 S HAZEL ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037828",
"telephone_number": "312-420-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 S HAZEL ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716037828",
"telephone_number": "312-420-8582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE BLUFF NURSING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "RHINE",
"authorized_official_first_name": "ZVI",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "312-420-8582",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Bluff Transitional Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pine Bluff, AR
- Pine Bluff Ar Opco LLC (The Springs of Pine Bluff)
- Pine Bluff Counseling Group, PLLC
- Pine Bluff Dental Center, PLLC
- Pine Bluff Dialysis Inc (Pine Bluff - US Renal Care)
- Pine Bluff Endoscopy Center, LLC
- Pine Bluff Pathologists PLLC
- Pine Bluff Radiologists, LTD
- Pine Bluff School District
- Pine Bluff Surgical Clinic, Inc (Professional Medical Review, Inc)
- Pine Ridge Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.