REGIS WOODS
NPI 1114030624
Skilled Nursing Facility in Louisville, KY

Active since August 17, 2006
4604 LOWE RD, LOUISVILLE, KY 40220(502) 451-1401(502) 485-1999 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Regis Woods NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGIS WOODS (NPI 1114030624) is a healthcare organization registered as a skilled nursing facility in Louisville, Kentucky and active in the NPI registry since August 2006. The organization lists Michael T Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1114030624
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePINE TREE VILLA, LLC
Location Address4604 LOWE RDLouisville, KY 40220-1514
Mailing Address101 Sun Ave Ne, Compliance DepartmentAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Fax(502) 485-1999
Organization SubpartYesParent: Sunbridge Healthcare Llc
Authorized OfficialMichael T BergAssistant Secretary · (505) 468-4742
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 19, 2016
NPI 1114030624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KY · 100503
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.

4604 LOWE RD, Louisville, KY 40220

Other Names 1

Doing Business AsRegis Woods

Other Identifiers 2

Medicaid12504882KY
Medicare OSCAR/certification185301

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
4604 LOWE RD
LOUISVILLE, KY 40220
Occupational Therapist
4604 LOWE RD
LOUISVILLE, KY 40220
Physical Therapy Assistant
4604 LOWE RD
LOUISVILLE, KY 40220
Physical Therapist
4604 LOWE RD
LOUISVILLE, KY 40220
Speech-Language Pathologist
4604 LOWE RD
LOUISVILLE, KY 40220
Physical Therapy Assistant
4604 LOWE RD
LOUISVILLE, KY 40220
Physical Therapist
4604 LOWE RD
LOUISVILLE, KY 40220
Speech-Language Pathologist
4604 LOWE RD
LOUISVILLE, KY 40220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Tree Villa, LLC's NPI number?

The NPI number for Pine Tree Villa, LLC is 1114030624. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider is doing business as Regis Woods.

Where is Pine Tree Villa, LLC located?

Pine Tree Villa, LLC is located at 4604 Lowe Rd, Louisville, KY 40220. The listed phone number is (502) 451-1401.

What is Pine Tree Villa, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Pine Tree Villa, LLC was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.