Provider Demographics
NPI:1013526680
Name:PINNACLE CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:PINNACLE CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LITVISHKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-709-4920
Mailing Address - Street 1:6934 CANBY AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-8772
Mailing Address - Country:US
Mailing Address - Phone:818-839-8797
Mailing Address - Fax:747-207-2615
Practice Address - Street 1:6934 CANBY AVE STE 111
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-8772
Practice Address - Country:US
Practice Address - Phone:818-839-8797
Practice Address - Fax:747-207-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based