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

Ponderosa Pines Care and Rehab, Inc

Organization Skilled Nursing Facility · NPI 1992944151

Ponderosa Pines Care and Rehab, Inc is a Skilled Nursing Facility in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 W University Ave
Flagstaff, AZ 86001-7103
Phone: (928) 779-6931
Fax: (928) 779-2180
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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 NCI-340 (AZ)

Record details

NPI number1992944151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Thomas — Systems Administrator · (801) 296-5106
NPI enumeratedFebruary 11, 2009
Last updated in NPPESFebruary 11, 2009
Mailing address800 W University Ave, Flagstaff, AZ 86001-7103

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