Organization Active NPI

Pinnacle Healthcare Services Inc

  • Adult Care Home Facility
  • Fayetteville, NC
National Provider Identifier
1336538156
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
FCL032143 Issued in NC
Legal business name
PINNACLE HEALTHCARE SERVICES INC
Practice address
183 Peatmoss Dr
Apt L
Fayetteville, NC 28311-8970
Phone
(910) 728-6019
Fax
(919) 872-7450
NPI assigned
Jan 16, 2015
Last updated
Jul 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Obby A Ike, RN
Title
Owner
Phone
(910) 728-6019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X FCL032143 NC Primary
In Home Supportive Care Agency 253Z00000X HC2523 NC

Addresses

Primary practice location

183 Peatmoss Dr
Apt L
Fayetteville, NC 28311-8970

Mailing address

183 Peatmoss Dr
Apt L
Fayetteville, NC 28311-8970
Phone (910) 728-6019

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1336538156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 PEATMOSS DR",
            "address_2": "APT L",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283118970",
            "telephone_number": "910-728-6019",
            "fax_number": "919-872-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 PEATMOSS DR",
            "address_2": "APT L",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283118970",
            "telephone_number": "910-728-6019",
            "fax_number": "919-872-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "IKE",
        "authorized_official_first_name": "OBBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-728-6019",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL032143",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.