Pine Haven Inc

Skilled Nursing Facility · Pine Island, MN

Organization Active NPI

NPI number 1962531012

Practice location

210 3rd St NW
Pine Island, MN 55963-9139
Phone
(507) 356-8304
Fax
(507) 356-4400

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NPI record

NPI
1962531012
Entity type
Organization (Type 2)
Enumeration date
March 5, 2007
Last updated
June 23, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 334206 MN

Mailing address

210 3rd St NW
Pine Island, MN 55963
Phone
(507) 356-8304
Fax
(507) 356-4400

Authorized official

Name
Steve R Ziller
Title
Administrator / CEO
Phone
(507) 356-8304

About Pine Haven Inc

Pine Haven Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 210 3rd St NW, Pine Island, MN 55963-9139. The NPI number 1962531012 was assigned on March 5, 2007 and the record was last updated on June 23, 2015.

Pine Haven Inc lists a license in the registry: #334206 (MN) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Steve R Ziller, Administrator / CEO.

Frequently asked questions

What is the NPI number of Pine Haven Inc?

The NPI number is 1962531012.

What is the phone number of Pine Haven Inc?

The phone number listed for the practice location is (507) 356-8304.

Where is Pine Haven Inc located?

210 3rd St NW, Pine Island, MN 55963-9139.

What is the taxonomy code for Pine Haven Inc?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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