Pine Acres Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINE ACRES ASSISTED LIVING LLC

Practice address

1501 Office Park Rd
West Des Moines, IA 50265-2497

Phone

(515) 223-1223

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Yisroel Kaplan

Title

Manager

Phone

(515) 223-1223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1245822105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OFFICE PARK RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652497",
            "telephone_number": "515-223-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OFFICE PARK RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652497",
            "telephone_number": "515-223-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ACRES ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-223-1223"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindi Sue Pierotti, PT
• Amanda Pietig, LMFT
• Malkan Pilipovic, ARNP
• Kelvin Pimentel, PHARMD
• Thomas Watkins Pinckney, DDS
• Pine Acres Rehabilitation and Care Center LLC
• James George Piros, M.D.
• Jennifer Marie Pitlick, DPT
• Madison Sue Pleggenkuhle, TLMHC
• Ambrose David Poduska

• Assisted Living Facility in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.