Pine Ridge Healthcare, Llc in Pine Bluff - Skilled Nursing Facility
Pine Ridge Healthcare, Llc - NPI 1386732030
Pine Ridge Healthcare, Llc is a Skilled Nursing Facility in Pine Bluff, Arkansas. Pine Ridge Healthcare, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pine Ridge Healthcare, Llc is 1386732030. The last update date is 2020-08-22.
Pine Ridge Healthcare, Llc's current location address is 1501 S Bay St, Pine Bluff, Arkansas. You can contact this provider via phone number 8705358878 and fax number 8705350640. The mailing address for Pine Ridge Healthcare, Llc is 1501 S Bay St, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Ridge Healthcare, Llc |
|---|---|
| Address | 1501 S Bay St, Pine Bluff, Arkansas |
| Phone Number | 8705358878 |
| Fax Number | 8705350640 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AGENT |
|---|---|
| Authorized Official Name | Sampson D Rick |
| Telephone Number | 8705234333 |
NPI Number Detail
| NPI Number | 1386732030 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1501 S Bay St |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716033040 |
| Phone Number | 8705358878 |
| Fax Number | 8705350640 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 801 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
|
Post Comment/ Review Below
What is the Pine Ridge Healthcare, Llc's 1386732030?
The Pine Ridge Healthcare, Llc's NPI (National Provider Identifier) Number is 1386732030. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pine Ridge Healthcare, Llc's facilities are situated?
The facilities of Pine Ridge Healthcare, Llc are physically located at the following address: 1501 S Bay St, Pine Bluff, AR, 716033040.
What is Pine Ridge Healthcare, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pine Ridge Healthcare, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386732030 to Pine Ridge Healthcare, Llc?
The Pine Ridge Healthcare, Llc received its 1386732030 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date were the Pine Ridge Healthcare, Llc's details last updated?
The information pertaining to the Pine Ridge Healthcare, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.