Organization Active NPI

Pine Bluff Nursing, LLC

Doing business as Pine Bluff Transitional Care

  • Skilled Nursing Facility
  • Pine Bluff, AR
National Provider Identifier
1225729429
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CareCCN 045379 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 19, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17781.5 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
7Fines totaling $97,971

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
04D0689636Pine Bluff Nursing LLC6810 South Hazel St, Pine Bluff, AR 71603Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Asia Colen Individual Adp of the SNF Jun 1, 2023
Zvi Rhine Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Direct Ownership Interest Jun 1, 2023 1%
Raven Maxwell Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
TLC Eretz Management LLC Organization, Jay, OK LLC, Management services company, Owned by another organization or individual 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.

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

Sources for this page

Verify at the official NPI Registry.