Baitan Enterprises Co.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BAITAN ENTERPRISES CO.

Doing business as

Pinnacle Home Care

Practice address

1199 W Granada Blvd
Ormond Beach, FL 32174-5912

Phone

(904) 541-0222

Fax

(904) 541-0333

NPI assigned

Nov 17, 2006

Last updated

Aug 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shane Donaldson

Title

Ceo

Phone

(813) 814-6000

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Pinnacle Home Care of the Villages, Inc.

  dba Pinnacle Home Care

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1134716970

  Sold to, 2020-11-15

  CMS change of ownership

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1063585883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 TAMPA RD STE 2200",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773212",
            "telephone_number": "813-814-6000",
            "fax_number": "904-541-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 W GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745912",
            "telephone_number": "904-541-0222",
            "fax_number": "904-541-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAITAN ENTERPRISES CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-814-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Back and Body Wellness Center Inc.
• Back to Basics Chiropractic and Sports Rehabilitation LLC
• Rajiv Bahl, M.D.
• Elaine Bailey, P.T,, DPT
• Mykira Bailey
• Daniellesherri Wanda Baker, 171M00000X
• Melinda Jo Baker, MSN, APRN, FNP-C
• Jacqueline Balidawa-Davis, RPH., PHARMD
• Ashlyn Barcomb Lo
• Lori Barnard, MA, CCC-SLP

• Home Health Agency in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.