Organization Active NPI

Pinnacle Wellness Healthcare Services

  • Home Health Agency
  • Green Cove Springs, FL
National Provider Identifier
1619789245
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE WELLNESS HEALTHCARE SERVICES
Practice address
2344 Bradley Park Dr
Green Cove Springs, FL 32043-5104
Phone
(904) 505-7369
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Monica Latasha Frazier, REGISTER NURSE
Title
Manager/Owner
Phone
(904) 505-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2344 Bradley Park Dr
Green Cove Springs, FL 32043-5104

Mailing address

2344 Bradley Park Dr
Green Cove Springs, FL 32043-5104
Phone (904) 505-7369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1619789245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 BRADLEY PARK DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320435104",
            "telephone_number": "904-505-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 BRADLEY PARK DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320435104",
            "telephone_number": "904-505-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WELLNESS HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LATASHA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "904-505-7369",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.