Organization Active NPI

Pinnacle Land Services Corporation

  • Home Modifications Contractor
  • Groveland, FL
National Provider Identifier
1033520465
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
GCG1506681 Issued in FL
Legal business name
PINNACLE LAND SERVICES CORPORATION
Practice address
8002 Cherry Lake Rd
Groveland, FL 34736-9007
Phone
(352) 429-9191
Fax
(352) 429-2704
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dana Zayne Miller
Title
Director of Finance
Phone
(352) 429-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X GCG1506681 FL Primary

Addresses

Primary practice location

8002 Cherry Lake Rd
Groveland, FL 34736-9007

Mailing address

8002 Cherry Lake Rd
Groveland, FL 34736-9007
Phone (352) 429-9191

Other identifiers 1

IdentifierTypeStateIssuer
001065900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1033520465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 CHERRY LAKE RD",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347369007",
            "telephone_number": "352-429-9191",
            "fax_number": "352-429-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 CHERRY LAKE RD",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347369007",
            "telephone_number": "352-429-9191",
            "fax_number": "352-429-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE LAND SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ZAYNE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "352-429-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "GCG1506681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001065900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.