Provider Demographics
NPI:1699859298
Name:PINNACLE HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:PINNACLE HOSPICE CARE, LLC
Other - Org Name:OPTIMAL HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGEIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-488-9999
Mailing Address - Street 1:4380 S SYRACUSE ST STE 455
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3096
Mailing Address - Country:US
Mailing Address - Phone:303-488-9999
Mailing Address - Fax:303-364-1131
Practice Address - Street 1:4380 S SYRACUSE ST STE 455
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3096
Practice Address - Country:US
Practice Address - Phone:303-488-9999
Practice Address - Fax:303-364-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based