Provider Demographics
NPI:1427607555
Name:PINNACLE HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:PINNACLE HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-239-6500
Mailing Address - Street 1:5460 63RD ST E UNIT A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-7808
Mailing Address - Country:US
Mailing Address - Phone:941-907-1595
Mailing Address - Fax:941-907-4768
Practice Address - Street 1:799 OVERLOOK DR STE C
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-1612
Practice Address - Country:US
Practice Address - Phone:941-907-1595
Practice Address - Fax:941-907-4768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299995028OtherSTATE OF FLORIDA
109761OtherMEDICARE CCN