Provider Demographics
NPI:1932642030
Name:PINNACLE HOME CARE, LLC
Entity Type:Organization
Organization Name:PINNACLE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:KISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-295-2365
Mailing Address - Street 1:540 BARNARD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2708
Mailing Address - Country:US
Mailing Address - Phone:917-295-2365
Mailing Address - Fax:516-706-1391
Practice Address - Street 1:540 BARNARD AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2708
Practice Address - Country:US
Practice Address - Phone:917-295-2365
Practice Address - Fax:516-706-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health