Organization Active NPI

Pinnacle Homecare and Staffing Agency

  • In Home Supportive Care Agency
  • Riverdale, GA
National Provider Identifier
1093418774
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PINNACLE HOMECARE AND STAFFING AGENCY
Practice address
773 Highway 138 SW Ste 13
Riverdale, GA 30296-1599
Phone
(347) 839-6217
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Chinwe OkoroNPI 1992388136
Title
Owner
Phone
(343) 839-6217

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

773 Highway 138 SW Ste 13
Riverdale, GA 30296-1599

Mailing address

250 Georgia Ave E Unit 883
Fayetteville, GA 30214-5508
Phone (347) 839-6217

National Provider Directory

National Provider Directory

Locations

250 Georgia Ave E
Unit 883
Fayetteville, GA 30214

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1093418774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GEORGIA AVE E UNIT 883",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145508",
            "telephone_number": "347-839-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 HIGHWAY 138 SW STE 13",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961599",
            "telephone_number": "347-839-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOMECARE AND STAFFING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "343-839-6217"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.