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Pine Knoll Nursing Home, Inc

Skilled Nursing Facility in Lyndonville, VT · enumerated 2006 · authorized official Travis Bergeron, Director of Operations.

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

National Provider Identifier

1225000383

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Knoll Nursing Home, Inc
Other name <Unavail>
Practice address 601 Red Village Rd, Lyndonville, VT, 05851
Phone (802) 626-3361
Fax (802) 626-4056
Enumeration date Feb 3, 2006
Last updated in NPPES Aug 27, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Travis Bergeron
Title Director of Operations
Phone (802) 626-3361

Other identifiers

Identifier Type State Issuer
0475044 Medicaid VT -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-08-27. Verify at npiregistry.cms.hhs.gov.
Where is Pine Knoll Nursing Home, Inc located?
The practice location on file with NPPES is in Lyndonville, VT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-27.