Provider Demographics
NPI:1851719462
Name:PINNACLE HOME HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:PINNACLE HOME HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:888-510-5055
Mailing Address - Street 1:324 GROVE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:888-510-5055
Mailing Address - Fax:508-802-5585
Practice Address - Street 1:324 GROVE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:888-510-5055
Practice Address - Fax:508-802-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110106054AMedicaid
MA110106054AMedicaid