Pinnacle Group of Hudson Valley III LLC

Key facts

NPI: 1982256897
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 314000000X
Legal business name: PINNACLE GROUP OF HUDSON VALLEY III LLC
Practice address: 47 Elm St
North Berwick, ME 03906-6724
Phone: (207) 676-2242
NPI assigned: Jul 11, 2019
Organization subpart: No

Authorized official

Name: Israel Nachfolger, RN, NREMTP
Title: Ceo
Phone: (845) 596-6633

Owners & managing parties with NPI records 1

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

Siva Padmanabhan Sivakumar, MD Critical Care Medicine (Internal Medicine) Physician · Baltimore, MD · NPI 1992788442

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Alexandra Jane Barr, DO Geriatric Medicine (Family Medicine) Physician · Freeport, ME · NPI 1770868762

NPD (past)
Catharine M Cadigan, MD Internal Medicine Physician · Windham, ME · NPI 1659301679

NPD (past)
Kelli B Mayfield, MD Geriatric Medicine (Family Medicine) Physician · Concord, NC · NPI 1598743114

NPD (past)
Siva Padmanabhan Sivakumar, MD Critical Care Medicine (Internal Medicine) Physician · Baltimore, MD · NPI 1992788442

NPD (past)

Affiliated clinicians 3

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

Catharine M Cadigan, MD Internal Medicine Physician · Windham, ME · NPI 1659301679

Care Compare affiliation Nursing home
Evan Jacobson, DO Family Medicine Physician · Kittery, ME · NPI 1447831375

Care Compare affiliation Nursing home
Siva Padmanabhan Sivakumar, MD Critical Care Medicine (Internal Medicine) Physician · Baltimore, MD · NPI 1992788442

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Pinnacle Health & Rehab at N Berwick CCN 205086
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 - Individual
Certified: Jan 1, 1993
Medicare certification status: Active (Provider of Services file)
Certified beds: 64 · 56.9 residents per day on average

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
20D0649460	Pinnacle Health & Rehab at North Berwick 47 Elm Street, North Berwick, ME 03906	Certificate of waiver	Aug 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ME

Skilled nursing facility certification: CCN 205086

Legal name: PINNACLE GROUP OF HUDSON VALLEY III LLC
Certification status: Active
Provider type (POS): Nursing home – SNF/NF dual certification
Participating since: Jan 1, 1993
Last certification: Oct 30, 2024
Beds: 64
Ownership / control type: Individual
Multi-facility organization: Pinnacle
Organization structure: LLC · Proprietary
Incorporated: Jan 14, 2019 in ME
Enrollment address: 47 Elm St
North Berwick, ME 03906-6724
Nursing home name: PINNACLE HEALTH & REHAB AT N BERWICK

All disclosed owners & managing parties 5

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

Name	Role	Since	Share
Andrea Bouchard Individual	Operational/Managerial Control	Jul 3, 2023
Andrea Bouchard Individual	Adp of the SNF	Apr 2, 2025
Siva P Sivakumar Individual	Operational/Managerial Control	Jan 1, 2024
Siva P Sivakumar Individual	Adp of the SNF	Mar 23, 2025
Miriam Nachfolger Individual	General Partnership Interest	Jan 14, 2019	1%
	Managing Control - Governing Body Member	Feb 1, 2020
	Trustee of the SNF	Jan 14, 2019
	Adp of the SNF	Feb 1, 2020
	Direct Ownership Interest	Jan 14, 2019	1%
Israel Nachfolger Individual	5% Or Greater Direct Ownership Interest	Jan 14, 2019	99%
	Operational/Managerial Control	Feb 1, 2020
	Managing Control - Governing Body Managing Member	Feb 1, 2020
	Trustee of the SNF	Feb 1, 2020
	Adp of the SNF	Feb 1, 2020
Elm St Realty LLC Organization · North Berwick, ME LLC	Adp of the SNF	Feb 1, 2020

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20200213000623	ME	Part a Provider - Skilled Nursing Facility	0244666139	Practice locations: North Berwick, ME

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Medical Laboratory	291U00000X
Skilled Nursing Facility	314000000X			Yes

Addresses

Primary practice location

47 Elm St
North Berwick, ME 03906-6724

Mailing address

3 Villa LN
Monsey, NY 10952-1021
Phone (845) 596-6633

Other names

Pinnacle Health & Rehab at North Berwick Doing business as

Other providers in North Berwick, ME

All providers in North Berwick, ME · Skilled Nursing Facility in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.