Provider Demographics
NPI:1982256897
Name:PINNACLE GROUP OF HUDSON VALLEY III LLC
Entity Type:Organization
Organization Name:PINNACLE GROUP OF HUDSON VALLEY III LLC
Other - Org Name:PINNACLE HEALTH & REHAB AT NORTH BERWICK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NACHFOLGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, NREMTP
Authorized Official - Phone:845-596-6633
Mailing Address - Street 1:3 VILLA LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1021
Mailing Address - Country:US
Mailing Address - Phone:845-596-6633
Mailing Address - Fax:
Practice Address - Street 1:47 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03906-6724
Practice Address - Country:US
Practice Address - Phone:207-676-2242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No291U00000XLaboratoriesClinical Medical Laboratory