Ms Hud Pine View LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MS HUD PINE VIEW LLC

Doing business as

Pine View Health and Rehabilitation Center

Practice address

1304 Walnut St
Waynesboro, MS 39367-2232

Phone

(601) 735-9025

NPI assigned

Jun 16, 2008

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

HUD FACILITIES LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Pine View Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1982864708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PALAFOX PL",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WALNUT ST",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672232",
            "telephone_number": "601-735-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS HUD PINE VIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUD FACILITIES LLC",
        "enumeration_date": "2008-06-16",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine View Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.