Active NPIOrganization

Pine Knoll Nursing Home, INC

Skilled Nursing Facility in Lyndonville, Vermont

NPI Number1225000383
Practice location
601 Red Village RD, Lyndonville, VT 05851-9068
Fax
802-626-4056
Last updated
August 27, 2025

Pine Knoll Nursing Home, INC is a healthcare organization based in Lyndonville, VT. Pine Knoll Nursing Home, INC practices in Lyndonville, VT. The NPI Number for Pine Knoll Nursing Home, INC is 1225000383. The current practice location address for Pine Knoll Nursing Home, INC is 601 Red Village RD, Lyndonville, VT 05851-9068 and can be reached out via phone at 802-626-3361 and via fax at 802-626-4056.

Provider Profile Details

NPI Number
1225000383
Provider Name
Pine Knoll Nursing Home, INC
Provider Entity Type
Organization
Address
601 Red Village RD, Lyndonville, VT 05851-9068
Phone Number
802-626-3361
Fax Number
802-626-4056
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mr. Travis B Bergeron · Director Of Operations · 802-626-3361
Other Names
Pines Rehabilitation & Health Center (Doing Business As)
Provider Enumeration Date
February 3, 2006
Last Update Date
August 27, 2025
Certification Date
August 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 Red Village RD
Lyndonville, VT 05851-9068
State
Vermont
Zip
05851-9068
Phone Number
802-626-3361
Fax Number
802-626-4056
Lyndonville, VT 05851Get directions →

Provider Business Mailing Address Details

Address
601 Red Village RD
Lyndonville, VT 05851-9068
City
Lyndonville
State
VT
Zip
05851-9068
Phone Number
802-626-3361
Fax Number
802-626-4056

License Information

License State
VT
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Skilled Nursing Facility providers near Lyndonville, VT

View all Skilled Nursing Facility providers in Lyndonville →

Frequently Asked Questions

What is the NPI number of Pine Knoll Nursing Home, INC?

The NPI number of Pine Knoll Nursing Home, INC is 1225000383. It was assigned on February 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Pine Knoll Nursing Home, INC?

Pine Knoll Nursing Home, INC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Pine Knoll Nursing Home, INC practice?

The practice location is 601 Red Village RD, Lyndonville, VT 05851-9068. The office can be reached at 802-626-3361 (phone) or 802-626-4056 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225000383 directly on the NPPES registry website.

Browse related providers