Pinnacle Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PINNACLE HOME CARE AGENCY LLC

Practice address

3900 W Commercial Blvd # 209
Tamarac, FL 33309-3328

Phone

(813) 812-2036

Fax

(888) 752-9230

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Tamika BunnellNPI 1821627779

Title

Owner

Phone

(404) 563-4982

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamika Bunnell

  • Home Health Aide
  • Tamarac, FL
  • NPI 1821627779
  NPD Authorized official

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1053940858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HUTCHINSON ST NE UNIT 501",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303074605",
            "telephone_number": "404-563-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W COMMERCIAL BLVD # 209",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093328",
            "telephone_number": "813-812-2036",
            "fax_number": "888-752-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "BUNNELL",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-563-4982"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Tamarac, FL
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• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.