PINE LAKE NURSING HOME
NPI 1679730196
Skilled Nursing Facility in Greenville, FL

Active since May 21, 2008
13455 W US 90, GREENVILLE, FL 32331(850) 948-4601 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Lake Nursing Home NPPES

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

PINE LAKE NURSING HOME (NPI 1679730196) is a healthcare organization registered as a skilled nursing facility in Greenville, Florida and active in the NPI registry since May 2008. The organization lists Nelson Robaina, Vp Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1679730196
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePL NURSING CENTER LLC
Location Address13455 W US 90Greenville, FL 32331-4318
Mailing Address13455 W Us 90Greenville, FL 32331-4318 · (850) 948-4601
Organization SubpartNo
Authorized OfficialNelson RobainaVp Of Reimbursement · (305) 864-9191
Enumeration DateMay 21, 2008
NPI 1679730196 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 FL · SNF1438096
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.
13455 W US 90, Greenville, FL 32331

Other Names 1

Doing Business AsPine Lake Nursing Home

Other Identifiers 2

Medicaid021401900FL
Medicare OSCAR/certification105824FL

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
13455 W US 90
GREENVILLE, FL 32331
Skilled Nursing Facility
13455 W US 90
GREENVILLE, FL 32331
Skilled Nursing Facility
13455 W US 90
GREENVILLE, FL 32331

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 Pl Nursing Center LLC's NPI number?

The NPI number for Pl Nursing Center LLC is 1679730196. It was assigned to this organization in the NPPES registry on May 21, 2008. The provider is doing business as Pine Lake Nursing Home.

Where is Pl Nursing Center LLC located?

Pl Nursing Center LLC is located at 13455 W Us 90, Greenville, FL 32331. The listed phone number is (850) 948-4601.

What is Pl Nursing Center 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 Pl Nursing Center LLC was last updated on May 21, 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.