Provider Demographics
NPI:1851303390
Name:PINNACLE HOME HEALTH INC
Entity Type:Organization
Organization Name:PINNACLE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ABERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-274-0299
Mailing Address - Street 1:2040 E MURRAY-HOLLADAY RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117
Mailing Address - Country:US
Mailing Address - Phone:801-274-0299
Mailing Address - Fax:801-274-0947
Practice Address - Street 1:2040 E MURRAY-HOLLADAY RD
Practice Address - Street 2:SUITE 205
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117
Practice Address - Country:US
Practice Address - Phone:801-274-0299
Practice Address - Fax:801-274-0947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2006HHA72900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT467224Medicare ID - Type Unspecified