Organization Active NPI

Pinnacle Group of Hudson Valley II LLC

  • Skilled Nursing Facility
  • Sanford, ME
National Provider Identifier
1528610433
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PINNACLE GROUP OF HUDSON VALLEY II LLC
Practice address
1142 Main St
Sanford, ME 04073-3614
Phone
(207) 324-2273
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Israel Nachfolger, RN, NREMTP
Title
Ceo
Phone
(845) 596-6633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1142 Main St
Sanford, ME 04073-3614

Mailing address

3 Villa LN
Monsey, NY 10952-1021
Phone (845) 596-6633

Other names 1

  • Pinnacle Health & Rehab at Sanford Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218001900 ME Part A Provider - Skilled Nursing Facility 7214364991 Practice locations: Sanford, ME

Skilled nursing facility certification: CCN 205082

Legal name
PINNACLE GROUP OF HUDSON VALLEY II LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Feb 12, 2025
Beds
86
Ownership / control type
Corporation
Most recent change of ownership
Feb 1, 2020
Organization structure
LLCProprietary
Incorporated
Jan 14, 2019 in ME
Enrollment address
1142 Main St
Sanford, ME 04073-3614
Nursing home name
PINNACLE HEALTH & REHAB AT SANFORD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pinnacle Health & Rehab at SanfordCCN 205082
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8664.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0678086Pinnacle Health & Rehab at Sanford1142 Main Street, Sanford, ME 04073Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Main St Realty Organization, Sanford, ME LLC Adp of the SNF Feb 1, 2020
Anne Ambler-Cote Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Mar 23, 2025
Miriam Nachfolger Individual General Partnership Interest Jan 14, 2019 1%
Trustee of the SNF Jan 14, 2019
Adp of the SNF Mar 23, 2025
Direct Ownership Interest Jan 14, 2019 1%
Israel Nachfolger Individual 5% Or Greater Direct Ownership Interest Jan 14, 2019 99%
Operational/Managerial Control Feb 1, 2020 100%
Trustee of the SNF Jan 14, 2019
Adp of the SNF Feb 1, 2020
Ari S Berman Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Mar 23, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1528610433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VILLA LN",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521021",
            "telephone_number": "845-596-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733614",
            "telephone_number": "207-324-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE GROUP OF HUDSON VALLEY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "NACHFOLGER",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-596-6633",
        "authorized_official_credential": "RN, NREMTP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Health & Rehab at Sanford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Health & Rehab at Sanford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.