Organization Active NPI

Peak Pinnacle Homecare Services LLC

  • In Home Supportive Care Agency
  • Washington, PA
National Provider Identifier
1508503095
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEAK PINNACLE HOMECARE SERVICES LLC
Practice address
893 Henderson Ave
Washington, PA 15301-1369
Phone
(724) 506-8976
Fax
(724) 277-6229
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Daniel Ketzell
Title
Owner
Phone
(724) 914-0140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

893 Henderson Ave
Washington, PA 15301-1369

Mailing address

53 Willowbrook LN
Washington, PA 15301-6217
Phone (724) 914-0140

National Provider Directory

National Provider Directory

Locations

893 Henderson Ave
Washington, PA 15301
Phone (724) 223-0590

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1508503095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WILLOWBROOK LN",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153016217",
            "telephone_number": "724-914-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 HENDERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153011369",
            "telephone_number": "724-506-8976",
            "fax_number": "724-277-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PINNACLE HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "KETZELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-914-0140"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.