Organization · Type 2 NPI

Pine Tree Villa, LLC

Skilled Nursing Facility · Louisville, KY

NPI number 1114030624 Active

Practice location

4604 Lowe Rd
Louisville, KY 40220-1514

Call (502) 451-1401 Map

Fax (502) 485-1999

Mailing address

101 Sun Ave NE, Compliance Department
Albuquerque, NM 87109-4373

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X100503 (KY)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1114030624

Pine Tree Villa, LLC's National Provider Identifier is 1114030624, issued on Aug 17, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Louisville, KY. The record was last updated on Aug 19, 2016.