Provider Demographics
NPI:1134716970
Name:PINNACLE HOME CARE OF THE VILLAGES, INC.
Entity type:Organization
Organization Name:PINNACLE HOME CARE OF THE VILLAGES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-814-6000
Mailing Address - Street 1:4023 TAMPA RD STE 2200
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3212
Mailing Address - Country:US
Mailing Address - Phone:813-814-6000
Mailing Address - Fax:
Practice Address - Street 1:1199 W GRANADA BLVD
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5912
Practice Address - Country:US
Practice Address - Phone:813-814-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PINNACLE HOME CARE OF THE VILLAGES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-28
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health