Provider Demographics
NPI:1144969437
Name:PINEWOOD OPCO LLC
Entity type:Organization
Organization Name:PINEWOOD OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/AUTHORIZED SIGNATORY
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-916-1443
Mailing Address - Street 1:1761 PINEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-9056
Mailing Address - Country:US
Mailing Address - Phone:803-481-8591
Mailing Address - Fax:803-481-8601
Practice Address - Street 1:1761 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-9056
Practice Address - Country:US
Practice Address - Phone:803-481-8591
Practice Address - Fax:803-481-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility