NPIMap

Organization Active NPI

Pinnacle Care Holdings LLC

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1316475460
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE CARE HOLDINGS LLC
Practice address
5627 S Sherwood Forest Blvd Ste a
Baton Rouge, LA 70816-6032
Phone
(225) 248-8600
NPI assigned
Jun 1, 2017
Last updated
Jun 1, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE CARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Authorized official

Name
Mrs. Kelly Tullier
Title
Cfo
Phone
(225) 248-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5627 S Sherwood Forest Blvd Ste a
Baton Rouge, LA 70816-6032

Mailing address

5627 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6032
Phone (225) 248-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825003234 LA Part A Provider - Home Health Agency 7315219383 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316475460. Details of each certification follow.

Home health agency certification: CCN 197770

Legal name
PINNACLE CARE HOLDINGS LLC
Doing business as
PINNACLE HOME HEALTH OF BATON ROUGE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 6, 2001
Last certification
Sep 21, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 26, 2017 in LA
Enrollment address
5627 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6032

Other NPIs with the same Medicare PAC ID 3

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 Health of Baton RougeCCN 197770 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 6, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Care Holdings LLC5 organizations share this tax ID, including this one
Part of
Pinnacle Care Holdings LLC

Other organizations with this tax ID 4

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Our Lady of the Lake Hospital Inc Organization, Baton Rouge, LA For-profit 5% Or Greater Indirect Ownership Interest Jun 18, 2017 100%
Franciscan Missionaries of Our Lady Health System Inc Organization, Baton Rouge, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 18, 2017 100%
Jonathan P Lyons Individual 5% Or Greater Direct Ownership Interest Jun 18, 2017 10%
W-2 Managing EmployeeCeo Jun 18, 2017
Kelly T Tullier Individual 5% Or Greater Direct Ownership Interest Jun 18, 2017 10%
Fmol-North American Providence Inc Organization, Baton Rouge, LA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 18, 2017 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

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

View all 19

Change-of-ownership history 1

DateEventCounterparty
Jun 18, 2017 Change of OwnershipThis provider was the buyer Pinnacle Home HealthCCN 197770, LA, NPI 1336193853

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1316475460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166032",
            "telephone_number": "225-248-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 S SHERWOOD FOREST BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166032",
            "telephone_number": "225-248-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE CARE HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE CARE HOLDINGS LLC",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "TULLIER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-248-8600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.