JACK PINES HEALTHCARE LLC
NPI 1245023100
Skilled Nursing Facility in Merrill, WI

Active since May 23, 2025
2100 E 6TH ST, MERRILL, WI 54452(715) 536-0355 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Pines Healthcare Llc NPPES

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

JACK PINES HEALTHCARE LLC (NPI 1245023100), doing business as Pine Crest Health And Memory Care, is a healthcare organization registered as a skilled nursing facility in Merrill, Wisconsin and active in the NPI registry since May 2025. The organization lists Soon Burnam, Secretary, as its authorized official.

NPPES Registry Identity

NPI1245023100
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJACK PINES HEALTHCARE LLC
Location Address2100 E 6TH STMerrill, WI 54452-3107
Mailing Address2100 E 6th StMerrill, WI 54452-3107 · (715) 536-0355
Organization SubpartNo
Authorized OfficialSoon BurnamSecretary · (949) 540-1249
Enumeration DateMay 23, 2025
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1245023100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
2100 E 6TH ST, Merrill, WI 54452

Other Names 1

Doing Business AsPine Crest Health And Memory Care

Other Providers at the Same Location NPPES 5

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

Physical Therapy Assistant
2100 E 6TH ST
MERRILL, WI 54452
Physical Therapy Assistant
2100 E 6TH ST
MERRILL, WI 54452
Skilled Nursing Facility
2100 E 6TH ST
MERRILL, WI 54452
Occupational Therapy Assistant
2100 E 6TH ST
MERRILL, WI 54452
Skilled Nursing Facility
2100 E 6TH ST
MERRILL, WI 54452

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 Jack Pines Healthcare LLC's NPI number?

The NPI number for Jack Pines Healthcare LLC is 1245023100. It was assigned to this organization in the NPPES registry on May 23, 2025. The provider is doing business as Pine Crest Health and Memory Care.

Where is Jack Pines Healthcare LLC located?

Jack Pines Healthcare LLC is located at 2100 E 6th St, Merrill, WI 54452. The listed phone number is (715) 536-0355.

What is Jack Pines Healthcare 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 Jack Pines Healthcare LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.