PINEHOUSE INC. NPI 1306810403

NPI Information

  • NPI: 1306810403
  • Provider Name: PINEHOUSE, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: OAKRIDGE ASSISTED LIVING FACILITY
  • Address: 297 SW COUNTY ROAD 300
    MAYO, FL
    ZIP 32066
  • Phone: (386) 294-5050

Map and Directions

Get Directions

NPI Details

PINEHOUSE, INC. is an assisted living facility in Mayo, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PINEHOUSE, INC. NPI is 1306810403. The provider is registered as an organization entity type.
The provider Is Doing Business As Oakridge Assisted Living Facility.

The provider's business location address is:

297 SW COUNTY ROAD 300
MAYO, FL
ZIP 32066-402
Phone: (386) 294-5050
Fax: (386) 294-5057

The provider's authorized official is Waymon W. Thomas .
The authorized official title is President and has the following contact phone number (386) 294-5050.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 5/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL9863FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140629900MEDICAIDFLORIDA
2678902100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI