Pinnacle Vista Residential LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PINNACLE VISTA RESIDENTIAL LLC

Practice address

17510 W Pinnacle Vista Dr
Surprise, AZ 85387-1132

Phone

(480) 677-5988

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Monique Blanton

Title

Manager

Phone

(480) 334-1417

Specialties & licenses 1

Addresses

Other names 1

• Pinnacle Vista Residential LLC Former legal business name

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1598433781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W PINNACLE VISTA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871132",
            "telephone_number": "480-334-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W PINNACLE VISTA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871132",
            "telephone_number": "480-677-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE VISTA RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-334-1417"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Vista Residential LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paula Rae Piccoli, FNP-C
• Michelle Del Carmen Pichardo
• Angela Renee' Pierce, COTA
• Ronald C. Pike, DC
• Monica Pineda, LAC
• Kayla R Piol
• Michelle R. Pipke, B.S. P. T.
• Plan B Consulting LLC
• Alexandra Platacz
• Denise Plott

• Mental Illness Community Based Residential Treatment Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.