Pine Meadows Health Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100638 Issued in KY

Legal business name

PINE MEADOWS HEALTH CARE, LLC

Practice address

1608 Hill Rise Dr
Lexington, KY 40504-2503

Phone

(859) 254-2402

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Bowman

Title

President

Phone

(859) 272-6682

Specialties & licenses 5

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1952405573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 HILL RISE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042503",
            "telephone_number": "859-254-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 HILL RISE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042503",
            "telephone_number": "859-254-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE MEADOWS HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-272-6682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100638",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "100638",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "100638",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "100638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000054920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504684",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather M. Pile, P.A.-C.
• Justin Edwin Pile, DO
• Dominic J Pileggi, PHARMD
• Laura M Pinault, M.D.
• Michelle A Pinckney, LPCC, MFTA
• Pine Meadowsidence Opco, LLC (Pine Meadows Post Acute)
• Shetundra M Pinkston
• Pinnacle Laboratories, LLC
• Pinnacle Pediatric Dentistry, PLLC
• Leslie Denise Pinson, APRN

• Skilled Nursing Facility in Lexington, KY
• Providers in Lexington, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.