Provider Demographics
NPI:1093418774
Name:PINNACLE HOMECARE AND STAFFING AGENCY
Entity Type:Organization
Organization Name:PINNACLE HOMECARE AND STAFFING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHINWE
Authorized Official - Middle Name:
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:343-839-6217
Mailing Address - Street 1:250 GEORGIA AVE E UNIT 883
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-5508
Mailing Address - Country:US
Mailing Address - Phone:347-839-6217
Mailing Address - Fax:
Practice Address - Street 1:773 HIGHWAY 138 SW STE 13
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-1599
Practice Address - Country:US
Practice Address - Phone:347-839-6217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care