Pine Heights of Brattleboro

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0720070579 Issued in VT

Legal business name

PINE HEIGHTS OF BRATTLEBORO

Practice address

187 Oak Grove Ave
Brattleboro, VT 05301-6642

Phone

(802) 257-0307

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIONAL HEALTHCAREAs reported in NPPES

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

Authorized official

Name

J Michael Rivers

Title

Administrator

Phone

(802) 257-0307

Specialties & licenses 1

Addresses

Tax ID family

Brattleboro Crossings LLC2 organizations share this tax ID, including this one

Part of

Preferred Therapy Solutions LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brattleboro Crossings LLC

  • Skilled Nursing Facility
  • Brattleboro, VT
  • NPI 1952517823
  NPD tax ID

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1336527423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 OAK GROVE AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 OAK GROVE AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016642",
            "telephone_number": "802-257-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE HEIGHTS OF BRATTLEBORO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "J MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "802-257-0307"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "0720070579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple D Peterson, LAPC
• Deborah Ann Petroski, RPT
• Philip Kramer (Lynn Orthopedic Brattleboro Orthotics)
• Phoenix House - Tapestry (Phoenix Houses of New Englan, Inc)
• Physical Therapy Services of Brattleboro Inc
• Pinewood TMS
• Gary L Pitkin
• Planned Parenthood of Northern New England
• Julieanna Marie Plummer-Brunetto, R.N.
• Eric R Pofcher, M.D.

• Skilled Nursing Facility in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.