Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pine Tree Villa, LLC

Organization Skilled Nursing Facility · NPI 1114030624

Pine Tree Villa, LLC is a Skilled Nursing Facility in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4604 Lowe Rd
Louisville, KY 40220-1514
Phone: (502) 451-1401
Fax: (502) 485-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 100503 (KY)

Record details

NPI number1114030624
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSunbridge Healthcare LLC
Authorized official Michael Berg — Assistant Secretary · (505) 468-4742
Other names Regis Woods
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 19, 2016
Mailing address101 Sun Ave Ne, Compliance Department, Albuquerque, NM 87109-4373

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