PINE KNOLL NURSING & REHABILIATION CENTER
NPI 1255337341
Skilled Nursing Facility in Carrollton, GA

Active since June 23, 2005CLIA 11D0256278 · Waiver
156 PINE KNOLL DR, CARROLLTON, GA 30117(770) 832-8243(770) 832-8221 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Knoll Nursing & Rehabiliation Center NPPES

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

PINE KNOLL NURSING & REHABILIATION CENTER (NPI 1255337341) is a healthcare organization registered as a skilled nursing facility in Carrollton, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Alex Paley, Coo, as its authorized official.

NPPES Registry Identity

NPI1255337341
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHC-PINE KNOLL NURSING & REHAB CTR, LLC
Location Address156 PINE KNOLL DRCarrollton, GA 30117-2451
Mailing Address156 Pine Knoll DrCarrollton, GA 30117-2451 · (770) 832-8243 · Fax (770) 832-8221
Fax(770) 832-8221
Organization SubpartNo
Authorized OfficialAlex PaleyCoo · (914) 390-4363
Enumeration DateJune 23, 2005
Last NPPES UpdateMarch 21, 2014
NPI 1255337341 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 · 10221757
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.
156 PINE KNOLL DR, Carrollton, GA 30117

Other Names 1

Doing Business AsPine Knoll Nursing & Rehabiliation Center

Other Identifiers 2

Medicare OSCAR/certification115443GA
Medicaid00142458AGA

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 11D0256278

Pine Knoll Nursing & Rehabilitation · Carrollton, GA
Active · expires Jul 14, 2027
CLIA Number11D0256278
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorKimberly Carrigg
Laboratory Phone(770) 832-8243
Laboratory LocationPine Knoll Nursing & Rehabilitation156 Pine Knoll Dr Attn Elizabeth Prayner, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
156 PINE KNOLL DR
CARROLLTON, GA 30117
Family Medicine (Geriatric Medicine)
156 PINE KNOLL DR
CARROLLTON, GA 30117
Nurse Practitioner (Family)
156 PINE KNOLL DR
CARROLLTON, GA 30117
Skilled Nursing Facility
156 PINE KNOLL DR
CARROLLTON, GA 30117
Skilled Nursing Facility
156 PINE KNOLL DR
CARROLLTON, GA 30117
Skilled Nursing Facility
156 PINE KNOLL DR
CARROLLTON, GA 30117
Occupational Therapy Assistant
156 PINE KNOLL DR
CARROLLTON, GA 30117

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 Chc-Pine Knoll Nursing & Rehab Ctr, LLC's NPI number?

The NPI number for Chc-Pine Knoll Nursing & Rehab Ctr, LLC is 1255337341. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Pine Knoll Nursing & Rehabiliation Center.

Where is Chc-Pine Knoll Nursing & Rehab Ctr, LLC located?

Chc-Pine Knoll Nursing & Rehab Ctr, LLC is located at 156 Pine Knoll Dr, Carrollton, GA 30117. The listed phone number is (770) 832-8243.

What is Chc-Pine Knoll Nursing & Rehab Ctr, LLC's specialty?

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

Does Chc-Pine Knoll Nursing & Rehab Ctr, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0256278) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chc-Pine Knoll Nursing & Rehab Ctr, LLC was last updated on March 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.