Pine Hill Nursing And Rehabilitation LP
Skilled Nursing Facility in Jefferson, TX. Organization (NPI-2).
NPI number1952397739
StatusActive
Last updated in NPPESJul 24, 2008
Details
- NPI
- 1952397739
- Entity type
- Organization (NPI-2)
- Legal business name
- Pine Hill Nursing And Rehabilitation LP
- Organization subpart
- No
- Enumeration date
- Sep 27, 2005
- Last updated
- Jul 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 114787 | TX | Yes |
Practice location
1307 Martin Luther King DrJefferson, TX 75657-1009
Phone 903-665-3951 · Fax 903-665-7230
Mailing address
401 N Elm StDenton, TX 76201-4137
Phone 940-387-4388 · Fax 940-380-2410
Authorized official
Michael A Rich
President
9403874388
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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