Pinecrest SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PINECREST SNF LLC

Practice address

3505 Old Jacksonville Rd
Tyler, TX 75701-8510

Phone

(903) 561-2011

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Zevi Kohn

Title

Cfo

Phone

(917) 370-9063

Specialties & licenses 2

Addresses

Other names 1

• Pinecrest Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1447586805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 E RANDOL MILL RD",
            "address_2": "STE 630",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116315",
            "telephone_number": "817-607-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 OLD JACKSONVILLE RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018510",
            "telephone_number": "903-561-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINECREST SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-370-9063"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinecrest Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presley Carlyn Pilkington
• Dana R Pillans, RN, ACNP
• Pine Creek Dental, PLLC
• Pinecreek Family LP
• Pinecrest Senior Care, LLC
• Piedad Azalia Pineda
• Piney Woods Counseling
• Piney Woods Endodontics PLLC
• Piney Woods ER LLC
• Piney Woods Family Eyecare

• Skilled Nursing Facility in Tyler, TX
• Providers in Tyler, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.