Pine Haven Operating

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PINE HAVEN OPERATING

Practice address

201 Main Street
Philmont, NY 12565

Phone

(518) 672-7408

NPI assigned

May 26, 2016

Last updated

May 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Bleier

Title

Member

Phone

(845) 641-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265880603. Details of each certification follow.

• CCN 335632 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335632

Legal name

PINE HAVEN OPERATING

Doing business as

PINE HAVEN HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1979

Last certification

Apr 1, 2025

Beds

128

Ownership / control type

Corporation

Most recent change of ownership

Jul 1, 2016

Organization structure

LLCProprietary

Incorporated

Apr 20, 2015 in NY

Enrollment address

Ny Route 217
201 Main St
Philmont, NY 12565

Nursing home name

PINE HAVEN HOME

Affiliated entity

JONATHAN BLEIER

Listed as

Pine Haven HomeCCN 335632 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

128117.4 residents per day on average

Chain

Jonathan Bleier18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Yule Tsou, M.D.

  • Internal Medicine Physician
  • Hudson, NY
  • NPI 1750348983
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John Yule Tsou, M.D.

  • Internal Medicine Physician
  • Hudson, NY
  • NPI 1750348983

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1265880603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "city": "PHILMONT",
            "state": "NY",
            "postal_code": "12565",
            "telephone_number": "518-672-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "city": "PHILMONT",
            "state": "NY",
            "postal_code": "12565",
            "telephone_number": "518-672-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HAVEN OPERATING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "BLEIER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-641-0303"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Clare Hallisey, L.AC., DIPL.AC
• Hudson Valley Pediatrics
• Tareq Khalifeh, DDS
• Philmont Family Dentistry,PLLC.
• Philmont Rescue Squad Inc
• The Philmont Hearth, Inc.

• Skilled Nursing Facility in Philmont, NY
• Providers in Philmont, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.