Organization Active NPI

Seniorcorps Peninsula, LLC

Doing business as Pinnacle Senior Care

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1053696963
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO14794 Issued in VA
Legal business name
SENIORCORPS PENINSULA, LLC
Doing business as
Pinnacle Senior Care
Practice address
236 Clearfield Ave Ste 211
Virginia Beach, VA 23462-1893
Phone
(757) 644-0150
Fax
(855) 665-5633
NPI assigned
Oct 12, 2011
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dennis E KnoffNPI 1710182803
Title
VP/Authorized Official
Phone
(248) 824-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO14794 VA Primary

Addresses

Primary practice location

236 Clearfield Ave Ste 211
Virginia Beach, VA 23462-1893

Mailing address

P.O. Box 99278
Troy, MI 48099-9278
Phone (248) 824-6000

Other names 1

  • Pinnacle Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

7447 Central Business Park Dr
#106
Norfolk, VA 23513

236 Clearfield Ave
Ste 211
Virginia Beach, VA 23462
Phone (757) 644-0150

263 McLaws Cir
Ste 104
Williamsburg, VA 23185
Phone (757) 561-2850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1053696963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 99278",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480999278",
            "telephone_number": "248-824-6000",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CLEARFIELD AVE STE 211",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621893",
            "telephone_number": "757-644-0150",
            "fax_number": "855-665-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCORPS PENINSULA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "KNOFF",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-824-6000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Senior Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.