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NPI Code Detail

MEDICARE: PINE HILL SNF OPCO LLC

MEDICARE: PINE HILL SNF OPCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1679442503
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINE HILL SNF OPCO LLC
Provider Business Mailing Address
First Line : 365 ROUTE 59 STE 211
Second Line :
City : AIRMONT
State : NY
Zip : 10952-3473
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 N PINE HILL RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35217-1215
Country : US
Telephone Number : 205-849-2352
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : YEHUDA HERZ
Credential :
Telephone Number : 551-795-7270
Provider Enumeration Date : 10/30/2025
Last Update Date : 10/30/2025

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Directions to “PINE HILL SNF OPCO LLC ” Practice Location

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