Pinewood Retirement Villa, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINEWOOD RETIREMENT VILLA, INC.

Practice address

2 Slappey Dr
Hawkinsville, GA 31036-1459

Phone

(478) 783-1623

Fax

(478) 783-3432

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Gary Crump

Title

President

Phone

(478) 783-1623

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477650752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SLAPPEY DR",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310361459",
            "telephone_number": "478-783-1623",
            "fax_number": "478-783-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SLAPPEY DR",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310361459",
            "telephone_number": "478-783-1623",
            "fax_number": "478-783-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD RETIREMENT VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-783-1623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00594305A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Peavy, RN
• Pharmacy Services, Inc.
• Pharmacy Services, Inc.
• Shaniqua Pierce
• Pinewood Healthcare Center, LLC
• Anna Kate Pope, PA-S
• Amanda Pradarits, PHARMD
• Progressive Long Term Care
• Progressive Long Term Care, LLC
• Project Hope for Families Inc

• Assisted Living Facility in Hawkinsville, GA
• Providers in Hawkinsville, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.