Provider Demographics
NPI:1265487029
Name:PINNACLE HEALTH HOME CARE & HOSPICE
Entity Type:Organization
Organization Name:PINNACLE HEALTH HOME CARE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP & CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARNESCHELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-782-5181
Mailing Address - Street 1:2645 N THIRD STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2037
Mailing Address - Country:US
Mailing Address - Phone:717-724-6670
Mailing Address - Fax:717-724-6671
Practice Address - Street 1:2645 N THIRD STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2037
Practice Address - Country:US
Practice Address - Phone:717-724-6670
Practice Address - Fax:717-724-6671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA712805251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007299210007Medicaid
PA397128BMedicare ID - Type Unspecified