Pinnacle in Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PINNACLE IN HOME CARE, LLC

Doing business as

Pinnacle In Home Care, LLC

Practice address

213 W Monroe Ave Ste L
Lowell, AR 72745-9451

Phone

(479) 595-8663

Fax

(479) 802-3156

NPI assigned

Jan 15, 2019

Last updated

Jan 26, 2021By 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

Victoria Williams

Title

Owner

Phone

(479) 366-3218

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pinnacle In Home Care, LLC Doing business as

Tax ID family

Pinnacle in Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle in Home Care, LLC

  dba Pinnacle In Home Care Russellville

  • In Home Supportive Care Agency
  • Russellville, AR
  • NPI 1396335063
  NPD tax ID

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1063986875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W MONROE AVE STE L",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459451",
            "telephone_number": "479-595-8663",
            "fax_number": "479-802-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MONROE AVE STE L",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459451",
            "telephone_number": "479-595-8663",
            "fax_number": "479-802-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-366-3218"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230008732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle In Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle In Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Pennington, CCLS
• Christeena Pershall, LPTA
• Petty Medical Clinic, LLC
• Susan Davis Phillips, M.S., CCC-SLP
• Linda Marie Pinckney, L.P.E.
• Play Learn Grow PLLC
• Angela Poole, RN
• Dustin Paul Pope, D.O.
• Melanie Marie Poteat
• Precision Health Care, Inc

• In Home Supportive Care Agency in Lowell, AR
• Providers in Lowell, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.