Provider Demographics
NPI:1376085662
Name:PINNACLE CARE HOMES LLC
Entity Type:Organization
Organization Name:PINNACLE CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFEEQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-641-7313
Mailing Address - Street 1:10307 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2003
Mailing Address - Country:US
Mailing Address - Phone:303-641-7313
Mailing Address - Fax:
Practice Address - Street 1:3581 E 100TH CT
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-3549
Practice Address - Country:US
Practice Address - Phone:303-641-7313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20141362354251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services