NPIMap

Organization Active NPI

Pinnacle Home Health Care 2005

  • Home Health Agency
  • Gonzales, LA
National Provider Identifier
1699912329
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1044 Issued in LA
Legal business name
PINNACLE HOME HEALTH CARE 2005
Practice address
1058 E Worthy St
Suite C
Gonzales, LA 70737-4302
Phone
(225) 644-9989
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Jeanine Thibodeaux, RN
Title
Ceo
Phone
(225) 248-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1044 LA Primary

Addresses

Primary practice location

1058 E Worthy St
Suite C
Gonzales, LA 70737-4302

Mailing address

5627 S Sherwood Forest Blvd
Ste a
Baton Rouge, LA 70816-6032
Phone (225) 248-8600

Other identifiers 1

IdentifierTypeStateIssuer
1404888MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1699912329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 S SHERWOOD FOREST BLVD",
            "address_2": "STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166032",
            "telephone_number": "225-248-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 E WORTHY ST",
            "address_2": "SUITE C",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374302",
            "telephone_number": "225-644-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME HEALTH CARE 2005",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-248-8600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1404888",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.