Provider Demographics
NPI:1821447046
Name:PINNACLE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PINNACLE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SURGERY CENTERS
Authorized Official - Prefix:
Authorized Official - First Name:BECKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-968-5438
Mailing Address - Street 1:2620 EAGAN WOODS DRIVE STE 250
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1466
Mailing Address - Country:US
Mailing Address - Phone:651-968-5215
Mailing Address - Fax:651-730-3601
Practice Address - Street 1:2620 EAGAN WOODS DRIVE STE 250
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1466
Practice Address - Country:US
Practice Address - Phone:651-968-5215
Practice Address - Fax:651-730-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health