Organization Active NPI

Pinnacle Home Care of Pinellas, LLC

Doing business as Pinnacle Home Care

  • Home Health Agency
  • Oldsmar, FL
National Provider Identifier
1689600082
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992336 Issued in FL
Legal business name
PINNACLE HOME CARE OF PINELLAS, LLC
Doing business as
Pinnacle Home Care
Practice address
4033 Tampa Rd Ste 102
Oldsmar, FL 34677-3224
Phone
(813) 814-6000
NPI assigned
Jun 25, 2006
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Max Lafer
Title
President
Phone
(813) 814-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992336 FL Primary

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 1

  • Pinnacle Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000294 FL Part A Provider - Home Health Agency 0244258085 Practice locations: Oldsmar, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689600082. Details of each certification follow.

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
CorporationProprietary
Incorporated
Apr 20, 2006 in FL
Enrollment address
4033 Tampa Rd
Ste 102
Oldsmar, FL 34677-3224
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pinnacle Home CareCCN 108290 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 20, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4033 Tampa Rd
Ste 102
Oldsmar, FL 34677
Phone (727) 938-7505

5286 Applegate Dr
Ste 600
Spring Hill, FL 34606

1787 S Pinellas Ave
Ste 600
Tarpon Springs, FL 34689

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Pinnacle Home Care Holdings LLC. Organization, Oldsmar, FL LLC 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
5% Or Greater Indirect Ownership Interest Feb 9, 2019 100%
Shane Donaldson Individual Corporate OfficerCeo Jan 1, 2016
Corporate Director Jan 1, 2016
W-2 Managing EmployeeCeo Jan 1, 2016

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 137

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

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1689600082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 TAMPA RD STE 2200",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773212",
            "telephone_number": "813-814-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TAMPA RD STE 102",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773224",
            "telephone_number": "813-814-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME CARE OF PINELLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "LAFER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-814-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.