Regis Woods

LBN: Pine Tree Villa, Llc
Regis Woods is an health care organization with primary practice located at 4604 Lowe Rd , Louisville KY 40220-1514. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pine Tree Villa, Llc can be contacted via phone (502) 451-1401, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
4604 Lowe Rd Louisville KY 40220-1514
Phone: (502) 451-1401
Fax: (502) 485-1999
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100503 Kentucky

Profile Details

NPI number 1114030624
LBN Legal business name Pine Tree Villa, Llc
DBA Doing business as Regis Woods
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 17th, 2006
Last updated Aug 19th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114030624 NPPES
Kentucky MEDICAID 12504882

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