Pine Tree Villa, LLC
NPI 1114030624 · Skilled Nursing Facility · Louisville, KY
Pine Tree Villa, LLC is a Skilled Nursing Facility organization in Louisville, KY (NPI 1114030624).
Provider details
- NPI number
- 1114030624
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Sunbridge Healthcare LLC
- Organization subpart
- Yes
- Authorized official
- Michael Berg, Assistant Secretary(505) 468-4742
- License
- 100503 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Regis Woods
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2016-08-19
Frequently asked questions
- What is Pine Tree Villa, LLC's NPI number?
- Pine Tree Villa, LLC's National Provider Identifier (NPI) is 1114030624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Tree Villa, LLC?
- Pine Tree Villa, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pine Tree Villa, LLC located?
- Pine Tree Villa, LLC's practice location on file with NPPES is 4604 Lowe Rd, Louisville, KY 40220-1514.
- What is Pine Tree Villa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Tree Villa, LLC is (502) 451-1401.
- Who is the authorized official for Pine Tree Villa, LLC?
- The authorized official listed on Pine Tree Villa, LLC's NPPES record is Michael Berg, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Tree Villa, LLC's NPI active?
- Yes — Pine Tree Villa, LLC's NPI (1114030624) is active in the NPPES registry as of the last update on 2016-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.