PINE LANE HEALTHCARE
NPI 1871580076
Skilled Nursing Facility in Mountain Home, AR

Active since October 03, 2005
1100 PINE TREE LN, MOUNTAIN HOME, AR 72653(870) 425-6316(870) 424-5197 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pine Lane Healthcare NPPES

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

PINE LANE HEALTHCARE (NPI 1871580076) is a healthcare organization registered as a skilled nursing facility in Mountain Home, Arkansas and active in the NPI registry since October 2005. The organization lists Patricia Miller, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1871580076
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKMJ ENTERPRISES MOUNTAIN HOME LLC
Location Address1100 PINE TREE LNMountain Home, AR 72653-4502
Mailing Address1100 Pine Tree LnMountain Home, AR 72653-4502 · (870) 425-6316 · Fax (870) 424-5197
Fax(870) 424-5197
Organization SubpartYesParent: Kmj Management
Authorized OfficialPatricia MillerPresident Ceo · (479) 636-5716
Enumeration DateOctober 3, 2005
Last NPPES UpdateJune 13, 2008
NPI 1871580076 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 AR · 720
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.
1100 PINE TREE LN, Mountain Home, AR 72653

Other Names 1

Doing Business AsPine Lane Healthcare

Other Identifiers 2

Medicare OSCAR/certification045163AR
Medicaid119728311AR

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 Kmj Enterprises Mountain Home LLC's NPI number?

The NPI number for Kmj Enterprises Mountain Home LLC is 1871580076. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Pine Lane Healthcare.

Where is Kmj Enterprises Mountain Home LLC located?

Kmj Enterprises Mountain Home LLC is located at 1100 Pine Tree Ln, Mountain Home, AR 72653. The listed phone number is (870) 425-6316.

What is Kmj Enterprises Mountain Home 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 Kmj Enterprises Mountain Home LLC was last updated on June 13, 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.