Active NPI
Pleasant Pine Healthcare LLC
- Skilled Nursing Facility
- Roanoke, AL
National Provider Identifier
1902701493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PLEASANT PINE HEALTHCARE LLC
- Practice address
- 680 Seymour Dr
Roanoke, AL 36274-1522 - Phone
- (334) 863-6151
- Fax
- (334) 863-4816
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- 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
- Soon Burnam
- Title
- Secretary
- Phone
- (949) 540-1249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
680 Seymour Dr
Roanoke, AL 36274-1522
Mailing address
680 Seymour Dr
Roanoke, AL 36274-1522
Phone (334) 863-6151
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1902701493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 SEYMOUR DR",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362741522",
"telephone_number": "334-863-6151",
"fax_number": "334-863-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 SEYMOUR DR",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362741522",
"telephone_number": "334-863-6151",
"fax_number": "334-863-4816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT PINE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A",
"authorized_official_last_name": "BURNAM",
"authorized_official_first_name": "SOON",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "949-540-1249"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, AL
- Dennis James Pacelli, DC
- Nipa S Parikh, DMD
- Russell D Peterson, D.O.
- Phoenix Healthcare LLC (Traylor Nursing Home, Inc)
- Marilee Agnes Platzek
- Randolph County Health Dept Offsite Epsdt
- Randolph County Health Dept STD
- Randolph County Health Dept-Roanoke Adult Immun
- Randolph County Health Dept-Roanoke AIDS
- Randolph County Health Dept-Roanoke Child
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.