Provider Demographics
NPI:1508442294
Name:PINNACLE HEALTHCARE LLC
Entity Type:Organization
Organization Name:PINNACLE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EZECHUKWU
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:IBEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-247-3997
Mailing Address - Street 1:1428 VILLAGE FIELD DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5675
Mailing Address - Country:US
Mailing Address - Phone:804-247-3997
Mailing Address - Fax:
Practice Address - Street 1:1428 VILLAGE FIELD DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-5675
Practice Address - Country:US
Practice Address - Phone:804-247-3997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health