PINEWOOD MANOR
NPI 1114916426
Skilled Nursing Facility in Hawkinsville, GA

Active since October 19, 2005CLIA 11D0263603 · Waiver
704 COMMERCE ST, HAWKINSVILLE, GA 31036(478) 892-9171(478) 783-2101 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinewood Manor NPPES

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

PINEWOOD MANOR (NPI 1114916426) is a healthcare organization registered as a skilled nursing facility in Hawkinsville, Georgia and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ronny G Crump, President, as its authorized official.

NPPES Registry Identity

NPI1114916426
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROGRESSIVE LONG TERM CARE, LLC
Location Address704 COMMERCE STHawkinsville, GA 31036-1004
Mailing AddressPo Box 1218Hawkinsville, GA 31036-7218 · (478) 892-9171 · Fax (478) 783-2101
Fax(478) 783-2101
Organization SubpartNo
Authorized OfficialRonny G CrumpPresident · (478) 892-9171
Enumeration DateOctober 19, 2005
Last NPPES UpdateJanuary 3, 2008
NPI 1114916426 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 GA · 1116927
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.
704 COMMERCE ST, Hawkinsville, GA 31036

Other Names 1

Doing Business AsPinewood Manor

Other Identifiers 3

Medicare OSCAR/certification115586GA
Medicaid00142513AGA
Medicare PIN115586GA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0263603

Pinewood Manor Nursing And Rehabilitation Center · Hawkinsville, GA
Active · expires Aug 31, 2026
CLIA Number11D0263603
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRonny G. Crump
Laboratory Phone(912) 892-9171
Laboratory LocationPinewood Manor Nursing And Rehabilitation Center277commerce Street, Hawkinsville, GA 31036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
704 COMMERCE ST
HAWKINSVILLE, GA 31036

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 Progressive Long Term Care, LLC's NPI number?

The NPI number for Progressive Long Term Care, LLC is 1114916426. It was assigned to this organization in the NPPES registry on October 19, 2005. The provider is doing business as Pinewood Manor.

Where is Progressive Long Term Care, LLC located?

Progressive Long Term Care, LLC is located at 704 Commerce St, Hawkinsville, GA 31036. The listed phone number is (478) 892-9171.

What is Progressive Long Term Care, LLC's specialty?

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

Does Progressive Long Term Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0263603) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Progressive Long Term Care, LLC was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.