Pinnacle Home Care of Pinellas, LLC
Organization Active NPI Home Health Agency · Oldsmar, FL
NPI 1689600082 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1689600082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 299992336 (FL)
- Legal business name
- PINNACLE HOME CARE OF PINELLAS, LLC
- Practice address
- 4033 Tampa Rd Ste 102
Oldsmar, FL 34677-3224 - Phone
- (813) 814-6000
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Max Lafer
- Title
- President
- Phone
- (813) 814-6000
Facilities with the same owner 11
Affiliated clinicians 137
-
Maher Nazih Abadeer, M.D.
-
Nicole Aguilar, DO
-
Margaret Foster Haines Amanti, DO, MPH
-
Ramona M Arias, M.D.
-
Mouna Bacha, MD
-
Jon W Beasley, M.D.
-
Craig Bennett, MD
-
Marc Stuart Berger, M.D.,C.M.
-
Percy Renato Bracamonte, M.D.
-
Julia Treece Brew, APRN
-
William C Brown Jr., M.D.
-
Craig W Burns, D.O.
-
Atta Butt, MD
-
Tim Paul Carlson, MD
-
Amber Cheyenne Casellas, PA-C
-
Marie Chambers, APRN
-
Vijaya L Cherukuri, M.D.
-
Bonita Joan Clark, APRN
-
Jonathan Andrew Clark, APRN
Medicare Care Compare: Home health agency
- Listed as
- Pinnacle Home Care
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Apr 20, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 108290
- Legal name
- PINNACLE HOME CARE OF PINELLAS, INC.
- Doing business as
- PINNACLE HOME CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 20, 2006
- Last certification
- Aug 17, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 20, 2006 in FL
- Enrollment address
- 4033 Tampa Rd
Ste 102
Oldsmar, FL 34677-3224
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Pinnacle Home Care Holdings LLC. |
5% Or Greater Direct Ownership Interest | Jan 1, 2016 | 100% |
| 5% Or Greater Indirect Ownership Interest | Feb 9, 2019 | 100% | |
| Shane Donaldson |
Corporate Officer |
Jan 1, 2016 | |
| Corporate Director | Jan 1, 2016 | ||
| W-2 Managing Employee |
Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120427000294 | FL | Part a Provider - Home Health Agency | 0244258085 | Practice locations: Oldsmar, FL |
National Provider Directory
Locations
5286 Applegate Dr
Ste 600
Spring Hill, FL 34606
1787 S Pinellas Ave
Ste 600
Tarpon Springs, FL 34689
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299992336 | FL | Yes |
Addresses
Primary practice location
4033 Tampa Rd Ste 102
Oldsmar, FL 34677-3224
Mailing address
4023 Tampa Rd Ste 2200
Oldsmar, FL 34677-3212
Phone (813) 814-6000
Other names
- Pinnacle Home Care
Other providers in Oldsmar, FL
- Pamela Marie Perrin
- Chelsey Petrina
- Pete Pham
- Phca Administration,LLC
- Physicians Now LLC
- Pinnacle Home Care, LLC
- Susan Pippenger
- Elizabeth Polanco Labrada
- Robin A Prance
- Premise Health of Florida Medical PA
All providers in Oldsmar, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.