Organization Active NPI

Pinnacle Assisted Living

  • Assisted Living Facility
  • Desoto, TX
National Provider Identifier
1710217070
Registry record updated Jan 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
128653 Issued in TX
Legal business name
PINNACLE ASSISTED LIVING
Practice address
341 Squirebrook Dr
Desoto, TX 75115-2914
Phone
(972) 697-5461
Fax
(888) 847-8217
NPI assigned
Jan 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2010

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

Authorized official

Name
Wenhua Ma
Title
Owner/Manager
Phone
(972) 697-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 128653 TX Primary

Addresses

Primary practice location

341 Squirebrook Dr
Desoto, TX 75115-2914

Mailing address

341 Squirebrook Dr
Desoto, TX 75115-2914
Phone (972) 697-5461

Other identifiers 1

IdentifierTypeStateIssuer
NPNP02456-0293458MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263081600000",
    "number": "1710217070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SQUIREBROOK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152914",
            "telephone_number": "972-697-5461",
            "fax_number": "888-847-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 SQUIREBROOK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152914",
            "telephone_number": "972-697-5461",
            "fax_number": "888-847-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-01-10",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "WENHUA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "972-697-5461"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "128653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPNP02456-0293458",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2010; 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.