Pines Village, Inc.
NPI 1104992528ActiveOrganization· Skilled Nursing Facility· Whiting, NJ
Skilled Nursing Facility in Whiting, New Jersey, registered in NPPES in November 2006. The authorized official on file is Brenden Garozzo, Executive Director. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1104992528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Sep 1, 2023 |
| Certified by provider | Sep 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 656000 | NJ |
| Assisted Living Facility | 310400000X | 65A001 | NJ |
| Skilled Nursing Facility | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (NJ) |
|---|
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