Provider Demographics
NPI:1992015986
Name:PINNACLE HOME HEALTH, CORP.
Entity Type:Organization
Organization Name:PINNACLE HOME HEALTH, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VILA
Authorized Official - Middle Name:
Authorized Official - Last Name:NANTHAVONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-327-7630
Mailing Address - Street 1:24600 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 480
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5638
Mailing Address - Country:US
Mailing Address - Phone:614-327-7630
Mailing Address - Fax:
Practice Address - Street 1:24600 CENTER RIDGE RD
Practice Address - Street 2:SUITE 480
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5638
Practice Address - Country:US
Practice Address - Phone:614-327-7630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health