Pinnacle Health Facilities Xxvii LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PINNACLE HEALTH FACILITIES XXVII LP

Practice address

4925 Elizabeth St
Texarkana, TX 75503-2911

Phone

(903) 793-4645

Fax

(903) 793-3956

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie L Collier

Title

Director of Reimbursement

Phone

(972) 931-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edgewood Manor Doing business as

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1104076322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 ELIZABETH ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032911",
            "telephone_number": "903-793-4645",
            "fax_number": "903-793-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH FACILITIES XXVII LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016351",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason T Pickelman, MD
• Ann Pickett, LPC
• Linh Pilkington-Ho
• Piney Woods ER III LLC
• Joshua Trenton Pinkham, APRN
• Lori Marie Pippen, OTR
• Henry J Platt, M.D.
• Kevin Hugh Platt, PA-C
• Pleasant Grove Family Dentistry
• Pleasant Grove Independent School District

• Skilled Nursing Facility in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.