Organization Active NPI

Pinnacle Home Health Agency Inc

  • Home Health Agency
  • Walnut Creek, CA
National Provider Identifier
1518656461
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE HOME HEALTH AGENCY INC
Practice address
1375 Locust St Ste 200M
Walnut Creek, CA 94596-4528
Phone
(925) 954-6178
Fax
(924) 265-2270
NPI assigned
May 5, 2023
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Julie Guintu
Title
Office Manager
Phone
(925) 954-6178

Specialties & licenses 1

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

Addresses

Primary practice location

1375 Locust St Ste 200M
Walnut Creek, CA 94596-4528

Mailing address

1375 Locust St Ste 200M
Walnut Creek, CA 94596-4528
Phone (925) 954-6178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200918000901 CA Part A Provider - Home Health Agency 8820416118 Practice locations: Walnut Creek, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518656461. Details of each certification follow.

Home health agency certification: CCN 059712

Legal name
PINNACLE HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 22, 2016
Last certification
Apr 30, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 20, 2019 in CA
Enrollment address
1375 Locust St
Ste 200M
Walnut Creek, CA 94596-4528
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pinnacle Home Health Agency IncCCN 059712 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 22, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1375 Locust St
Ste 200M
Walnut Creek, CA 94596
Phone (925) 954-6178

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Cedric Sanchez Individual 5% Or Greater Direct Ownership Interest Jun 20, 2019 32%
Corporate OfficerCeo Jun 20, 2019 32%
Corporate Director Jun 20, 2019 32%
Mary Samson Individual 5% Or Greater Direct Ownership Interest Jun 20, 2019 68%
Corporate DirectorBoard Member Jun 20, 2019
Victorino C Samson Individual Corporate DirectorBoard Member Jun 20, 2019
Operational/Managerial ControlBoard Member Jun 20, 2019

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2019 Change of OwnershipThis provider was the buyer Pinnacle Home Health Agency LLCCCN 059712, CA, NPI 1992133391

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1518656461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 LOCUST ST STE 200M",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964528",
            "telephone_number": "925-954-6178",
            "fax_number": "924-265-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 LOCUST ST STE 200M",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964528",
            "telephone_number": "925-954-6178",
            "fax_number": "924-265-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "GUINTU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-954-6178"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.