NPIMap

Organization Active NPI

Pinnacle Homes, Dda, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Pinnacle, NC
National Provider Identifier
1205913019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL085028 Issued in NC
Legal business name
PINNACLE HOMES, DDA, LLC
Practice address
1169 Perch Rd
Pinnacle, NC 27043-8312
Phone
(336) 368-2778
Fax
(336) 368-2779
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Earl R. Forest
Title
Administrator
Phone
(336) 368-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL085028 NC Primary

Addresses

Primary practice location

1169 Perch Rd
Pinnacle, NC 27043-8312

Mailing address

PO Box 70
Pinnacle, NC 27043-0070
Phone (336) 368-2778

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Homes Dda LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205913019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "PINNACLE",
            "state": "NC",
            "postal_code": "270430070",
            "telephone_number": "336-368-2778",
            "fax_number": "336-368-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 PERCH RD",
            "city": "PINNACLE",
            "state": "NC",
            "postal_code": "270438312",
            "telephone_number": "336-368-2778",
            "fax_number": "336-368-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOMES, DDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-368-2778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL085028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinnacle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.