Provider Demographics
NPI:1326479189
Name:PINNACLE SENIOR CARE OF WISCONSIN, LLC
Entity type:Organization
Organization Name:PINNACLE SENIOR CARE OF WISCONSIN, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-748-5908
Mailing Address - Street 1:34 35TH ST STE 4-5B516
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2021
Mailing Address - Country:US
Mailing Address - Phone:718-748-5908
Mailing Address - Fax:
Practice Address - Street 1:13555 BISHOPS CT STE 305
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6224
Practice Address - Country:US
Practice Address - Phone:414-255-0340
Practice Address - Fax:855-342-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI251E00000XOtherTAXONOMY CODE-HOME HEALTH AGENCY