Pine Oak Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PINE OAK POST ACUTE LLC

Practice address

904 Mission St
S Pasadena, CA 91030-3144

Phone

(213) 840-5585

NPI assigned

Jul 10, 2025

Last updated

Jul 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry Kohn

Title

Manager

Phone

(213) 840-5585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1598656373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MISSION ST",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910303144",
            "telephone_number": "213-840-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MISSION ST",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910303144",
            "telephone_number": "213-840-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE OAK POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-840-5585"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in S Pasadena, CA
• Providers in S Pasadena, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.