The Pines of Camden LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE PINES OF CAMDEN LLC

Practice address

550 Ponderosa Dr
Camden, AL 36726-2313

Phone

(334) 682-4231

Fax

(334) 682-5224

NPI assigned

Aug 16, 2024

Last updated

Sep 11, 2024By 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

Mrs. Sallee Sasser Williams

Title

Manager

Phone

(334) 303-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649002882. Details of each certification follow.

• CCN 015374 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015374

Legal name

THE PINES OF CAMDEN LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 24, 1980

Last certification

Mar 18, 2021

Beds

95

Ownership / control type

Corporation

Most recent change of ownership

Oct 1, 2024

Organization structure

LLCProprietary

Enrollment address

550 Ponderosa Dr
Camden, AL 36726-2313

Nursing home name

THE PINE OF CAMDEN, LLC

Listed as

The Pine of Camden, LLCCCN 015374 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Oct 24, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9557.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

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

• Laura Lishman, MD

  • Family Medicine Physician
  • Marion, AL
  • NPI 1013390665

  Adp of the SNF

  CMS ownership
• Medchoice Pharmacy Services, LLC

  • Long Term Care Pharmacy
  • Mobile, AL
  • NPI 1902220932

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Andalusia Manor LLC

  • Skilled Nursing Facility
  • Andalusia, AL
  • NPI 1407937709

  Sasser Enterprises Inc

  CMS ownership
• Southland Nursing Home, LLC

  • Skilled Nursing Facility
  • Marion, AL
  • NPI 1114002227

  Sasser Enterprises Inc

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Lishman, MD

  • Family Medicine Physician
  • Marion, AL
  • NPI 1013390665
  NPD (past)

Affiliated clinicians 1

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

• Laura Lishman, MD

  • Family Medicine Physician
  • Marion, AL
  • NPI 1013390665

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1649002882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PONDEROSA DR",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367262313",
            "telephone_number": "334-682-4231",
            "fax_number": "334-682-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PONDEROSA DR",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367262313",
            "telephone_number": "334-682-4231",
            "fax_number": "334-682-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PINES OF CAMDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SALLEE",
        "authorized_official_middle_name": "SASSER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-303-3937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Alabama
• State of Alabama Department of Public Health (Wilcox County Health Dept Flu-Pneu)
• Adam Stephens, PA
• James Allen Stoudenmire, RPH
• Sunset Elite Homecare Agency LLC
• Turning Point Home Healthcare LLC
• Whitaker Drugs LLC
• Wilcox County
• Wilcox County Health Dept Adult Immun
• Wilcox County Health Dept AIDS

• Skilled Nursing Facility in Camden, AL
• Providers in Camden, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.