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Pine Tree Villa, LLC

Skilled Nursing Facility in Louisville, KY · enumerated 2006 · authorized official Michael Berg, Assistant Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114030624

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Tree Villa, LLC
Other name <Unavail>
Parent organization Sunbridge Healthcare LLC
Practice address 4604 Lowe Rd, Louisville, KY, 40220
Phone (502) 451-1401
Fax (502) 485-1999
Enumeration date Aug 17, 2006
Last updated in NPPES Aug 19, 2016

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100503 (KY) Primary

Authorized official

Name Michael Berg
Title Assistant Secretary
Phone (505) 468-4742

Other identifiers

Identifier Type State Issuer
12504882 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pine Tree Villa, LLC?
The NPI for Pine Tree Villa, LLC is 1114030624, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pine Tree Villa, LLC?
NPPES lists Michael Berg (Assistant Secretary) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-19.