Provider Demographics
NPI:1700578838
Name:PINNACLE HEALTH SERVICES
Entity Type:Organization
Organization Name:PINNACLE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:J
Authorized Official - Last Name:NTUNGWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-374-8705
Mailing Address - Street 1:3220 BLAZER LOOP APT 303
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5580
Mailing Address - Country:US
Mailing Address - Phone:240-374-8705
Mailing Address - Fax:
Practice Address - Street 1:3220 BLAZER LOOP APT 303
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5580
Practice Address - Country:US
Practice Address - Phone:240-374-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care