Provider Demographics
NPI:1972033892
Name:PINNACLE CARE HOLDINGS LLC
Entity Type:Organization
Organization Name:PINNACLE CARE HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TULLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-248-8600
Mailing Address - Street 1:5627 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6032
Mailing Address - Country:US
Mailing Address - Phone:225-248-8600
Mailing Address - Fax:
Practice Address - Street 1:5627 S SHERWOOD FOREST BLVD STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6032
Practice Address - Country:US
Practice Address - Phone:225-248-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINNACLE CARE HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care