Active NPI
Pine Hills Health and Rehabilitation, LLC
- Skilled Nursing Facility
- Camden, AR
National Provider Identifier
1679717474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PINE HILLS HEALTH AND REHABILITATION, LLC
- Practice address
- 900 Magnolia Rd
Camden, AR 71701-4626 - Phone
- (870) 836-6833
- Fax
- (870) 837-2732
- NPI assigned
- Apr 23, 2009
- 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
- Mr. Brian K. Reynolds
- Title
- Manager
- Phone
- (410) 513-8738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
900 Magnolia Rd
Camden, AR 71701-4626
Mailing address
1423 Clarkview Rd
Suite 500
Baltimore, MD 21209-2134
Phone (410) 427-2700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433721600000",
"number": "1679717474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 CLARKVIEW RD",
"address_2": "SUITE 500",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092134",
"telephone_number": "410-427-2700",
"fax_number": "414-815-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAGNOLIA RD",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717014626",
"telephone_number": "870-836-6833",
"fax_number": "870-837-2732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE HILLS HEALTH AND REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-23",
"last_updated": "2015-06-08",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "410-513-8738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.