Active NPI
Pinnacle Group of Hudson Valley II LLC
- Skilled Nursing Facility
- Sanford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Sanford
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 86
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0678086 | Pinnacle Health & Rehab at Sanford | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Main St Realty | Adp of the SNF | Feb 1, 2020 | |
| Anne Ambler-Cote | Operational/Managerial Control | Feb 1, 2020 | |
| Adp of the SNF | Mar 23, 2025 | ||
| Miriam Nachfolger | 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 | 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 | 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.
-
- Internal Medicine Physician
- Portland, ME
- NPI 1225015829
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Portland, ME
- NPI 1225015829
-
- Geriatric Medicine (Family Medicine) Physician
- Portland, ME
- NPI 1033585203
-
- Family Medicine Physician
- Gorham, ME
- NPI 1215375589
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Portland, ME
- NPI 1033585203
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.