DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PINE KNOLL CYPRESS LLC

MEDICARE: PINE KNOLL CYPRESS 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 : 1255752226
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINE KNOLL CYPRESS LLC
Provider Business Mailing Address
First Line : 156 PINE KNOLL DR
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-2451
Country : US
Telephone Number : 770-832-8243
Fax Number :
Provider Business Practice Location Address
First Line : 156 PINE KNOLL DR
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-2451
Country : US
Telephone Number : 770-832-8243
Fax Number :
Authorized Official
Title or Position : CFO
Name : ISAAC OVITS
Credential :
Telephone Number : 845-694-6055
Provider Enumeration Date : 12/18/2013
Last Update Date : 01/19/2022

Similar Medicare Providers

1073481826 — CHELSEA MARIE MONROY FNP-C
Practice Location Address:
156 PINE KNOLL DR
CARROLLTON, GA
30117-2451
Practice Phone: 770-832-8243
Practice Fax:
1255337341 — CHC-PINE KNOLL NURSING & REHAB CTR, LLC
Practice Location Address:
156 PINE KNOLL DR
CARROLLTON, GA
30117-2451
Practice Phone: 770-832-8243
Practice Fax: 770-832-8221
1003050816 — ANDREA LEIGH DINARTE
Practice Location Address:
156 PINE KNOLL DR
CARROLLTON, GA
30117-2451
Practice Phone: 770-832-8243
Practice Fax:
1033689336 — POST ACUTE CARE LEADERS LLC
Practice Location Address:
156 PINE KNOLL DR
CARROLLTON, GA
30117-2451
Practice Phone: 678-593-3332
Practice Fax: 678-868-1584
1598497992 — TINA DENISE BARNES COTA/L
Practice Location Address:
156 PINE KNOLL DR
CARROLLTON, GA
30117-2451
Practice Phone: 770-832-8243
Practice Fax:
1447129846 — PINE KNOLL PATH OF JOURNEY LLC
Practice Location Address:
156 PINE KNOLL DR
CARROLLTON, GA
30117-2451
Practice Phone: 770-832-8243
Practice Fax:

Directions to “PINE KNOLL CYPRESS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.