The Kingdom Kares Pines Ops LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE KINGDOM KARES PINES OPS LLC

Doing business as

Pines Rehabilitation and Health Center

Practice address

601 Red Village Rd
Lyndonville, VT 05851-9068

Phone

(802) 626-3361

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By 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

Travis Bergeron, CEO

Title

Owner/Ceo

Phone

(802) 745-7044

Specialties & licenses 1

Addresses

Other names 1

• Pines Rehabilitation and Health Center Doing business as

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1669378345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RED VILLAGE RD",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519068",
            "telephone_number": "802-626-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RED VILLAGE RD",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058519068",
            "telephone_number": "802-626-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KINGDOM KARES PINES OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "802-745-7044",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Rehabilitation and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sky William Shover
• Carol A Sims, LCSW, PIP
• Kate-Lyn Smith, PHARM.D.
• Regan Leigh Solinsky
• Mitchell Sullivan, MD
• Kelly H Therrien, PT
• Tim Hash, MSW
• Alfred J Tomaselli, M.A., D.PHIL.
• Tenisa Turnbaugh, BCBA
• Vermont State Colleges (Lyndon State College)

• Skilled Nursing Facility in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.