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Pine Tree Villa, Llc
Skilled Nursing Facility in Louisville, Kentucky
NPI 1114030624

Pine Tree Villa, Llc is a Skilled Nursing Facility based in Albuquerque, KY. Pine Tree Villa, Llc practices in Louisville, KY. The NPI Number for Pine Tree Villa, Llc is 1114030624 and holds a License No. 100503 (Kentucky).

The current practice location address for Pine Tree Villa, Llc is 4604 Lowe Rd, Louisville, KY and can be reached out via phone at 502-451-1401 and via fax at 502-485-1999.

Location: 4604 Lowe Rd, Louisville, KY, 87109-4373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114030624
Provider Name
Pine Tree Villa, Llc
Credential
Provider Entity Type
Organization
Address
4604 Lowe Rd, Louisville, KY, 87109-4373
Phone Number
502-451-1401
Fax Number
502-485-1999
Provider Enumeration Date
08/17/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
12504882 05 KY
institution
Provider Business Practice Location Address Details
Address
4604 Lowe Rd
City
Louisville
State
Kentucky
Zip
40220-1514
Phone Number
502-451-1401
Fax Number
502-485-1999
person
Provider Business Mailing Address Details
Address
4604 Lowe Rd
City
Louisville
State
Kentucky
Zip
40220-1514
Phone Number
502-451-1401
Fax Number
502-485-1999
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
100503 (Kentucky)
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 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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