Active NPI
Pinnacle Recovery Center LLC
- Substance Abuse Rehabilitation Facility
- Holladay, UT
National Provider Identifier
1427410745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PINNACLE RECOVERY CENTER LLC
- Practice address
- 6196 South Holladay Boulevard
Holladay, UT 84121 - Phone
- (801) 259-7533
- Fax
- (833) 585-5302
- NPI assigned
- Mar 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martina Giaquinto
- Title
- Manager of Ur and Billing
- Phone
- (801) 502-7808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | UT | Primary |
Addresses
Primary practice location
6196 South Holladay Boulevard
Holladay, UT 84121
Mailing address
11316 S Beckstead LN
South Jordan, UT 84095-1294
Phone (801) 259-7533
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2121957 | Pinnacle Recovery Center | Certificate of waiver | Nov 16, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Pinnacle Recovery Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- Sandy, UT
- NPI 1952841819
Locations
9090 S 300 W
Sandy, UT 84070
11316 S Beckstead Ln
South Jordan, UT 84095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608681600000",
"number": "1427410745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11316 S BECKSTEAD LN",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840951294",
"telephone_number": "801-259-7533",
"fax_number": "833-585-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6196 SOUTH HOLLADAY BOULEVARD",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "801-259-7533",
"fax_number": "833-585-5302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE RECOVERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-25",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A",
"authorized_official_last_name": "GIAQUINTO",
"authorized_official_first_name": "MARTINA",
"authorized_official_title_or_position": "MANAGER OF UR AND BILLING",
"authorized_official_telephone_number": "801-502-7808"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.