Pine Knoll Nursing Home, Inc
NPI 1225000383ActiveOrganization· Skilled Nursing Facility· Lyndonville, VT
Skilled Nursing Facility in Lyndonville, Vermont, registered in NPPES in February 2006. The authorized official on file is Travis B. Bergeron, Director Of Operations. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - clinic/group practice.
Overview
| NPI | 1225000383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2006 |
| Last updated in NPPES | Aug 27, 2025 |
| Certified by provider | Aug 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | VT |
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 (VT); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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