NPIMap

Organization Active NPI

Pinnacle Home Care of the Villages, Inc.

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1134716970
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE HOME CARE OF THE VILLAGES, INC.
Practice address
4401 Salisbury Rd Ste 103
Jacksonville, FL 32216-8715
Phone
(813) 814-6000
NPI assigned
Dec 28, 2020
Organization subpart
Yes
Parent organization
PINNACLE HOME CARE OF THE VILLAGES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Max Lafer
Title
President
Phone
(404) 922-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4401 Salisbury Rd Ste 103
Jacksonville, FL 32216-8715

Mailing address

4023 Tampa Rd Ste 2200
Oldsmar, FL 34677-3212
Phone (813) 814-6000

Other names 1

  • Pinnacle Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230119001185 FL Part A Provider - Home Health Agency 2264615848 Practice locations: Ormond Beach, FL

Home health agency certification: CCN 108499

Legal name
PINNACLE HOME CARE OF THE VILLAGES INC
Doing business as
PINNACLE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2008
Last certification
Oct 30, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 16, 2009 in FL
Enrollment address
1199 W Granada Blvd
Ormond Beach, FL 32174-5912

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pinnacle Home CareCCN 108499
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 28, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Home Care of the Villages LLC2 organizations share this tax ID, including this one
Part of
Pinnacle Home Care of the Villages LLC

Other organizations with this tax ID 1

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

Locations

1217 W Miller St
Ste 6
Fruitland Park, FL 34731
Phone (352) 314-9500

4401 Salisbury Rd
Ste 103
Jacksonville, FL 32216

1122 E Wade St
#B
Trenton, FL 32693

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pinnacle Home Care Holdings LLC. Organization, Oldsmar, FL LLC 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Operational/Managerial Control Nov 15, 2020
Shane Donaldson Individual 5% Or Greater Indirect Ownership Interest Nov 15, 2020 100%
Michael K Froning Individual W-2 Managing EmployeePresident &Ceo Nov 15, 2020 100%
Operational/Managerial ControlCeo Nov 15, 2020 100%

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Nov 15, 2020 Change of OwnershipThis provider was the buyer Pinnacle Home CareCCN 108499, FL, NPI 1063585883

Change of ownership 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 127

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1134716970",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SALISBURY RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168715",
            "telephone_number": "813-814-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME CARE OF THE VILLAGES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HOME CARE OF THE VILLAGES, LLC",
        "enumeration_date": "2020-12-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "LAFER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-922-9191"
    },
    "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"
        },
        {
            "organization_name": "Pinnacle Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.