Provider Demographics
NPI:1386465680
Name:ROYAL PINNACLE SERVICES
Entity type:Organization
Organization Name:ROYAL PINNACLE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EZECHUKWU
Authorized Official - Middle Name:PRINCE
Authorized Official - Last Name:IBEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-247-3997
Mailing Address - Street 1:280 CHARLES H DIMMOCK PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-2940
Mailing Address - Country:US
Mailing Address - Phone:804-247-3997
Mailing Address - Fax:
Practice Address - Street 1:2401 FOUNTAIN VIEW DR STE 464
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4819
Practice Address - Country:US
Practice Address - Phone:804-247-3997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health