Active NPI
Pinnacle Land Services Corporation
- Home Modifications Contractor
- Groveland, FL
National Provider Identifier
1033520465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- GCG1506681
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001065900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.