OrganizationActive
Jack Pines Healthcare LLC
NPI 1245023100 · Skilled Nursing Facility · Merrill, WI
Jack Pines Healthcare LLC is a Skilled Nursing Facility organization in Merrill, WI (NPI 1245023100).
Provider details
- NPI number
- 1245023100
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Secretary(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2100 E 6th St
Merrill, WI 54452-3107
Phone: (715) 536-0355
Street-level locationGet directions
Mailing address
2100 E 6th St
Merrill, WI 54452-3107
Other names (DBA / former)
- Doing business as
- Pine Crest Health and Memory Care
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Frequently asked questions
- What is Jack Pines Healthcare LLC's NPI number?
- Jack Pines Healthcare LLC's National Provider Identifier (NPI) is 1245023100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Pines Healthcare LLC?
- Jack Pines Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jack Pines Healthcare LLC located?
- Jack Pines Healthcare LLC's practice location on file with NPPES is 2100 E 6th St, Merrill, WI 54452-3107.
- What is Jack Pines Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Jack Pines Healthcare LLC is (715) 536-0355.
- Who is the authorized official for Jack Pines Healthcare LLC?
- The authorized official listed on Jack Pines Healthcare LLC's NPPES record is Soon Burnam, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Pines Healthcare LLC's NPI active?
- Yes — Jack Pines Healthcare LLC's NPI (1245023100) is active in the NPPES registry as of the last update on 2025-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.