Pinnacle Sober Living LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2035945 Issued in FL

Legal business name

PINNACLE SOBER LIVING LLC

Practice address

1561 NE 44TH St
Pompano Beach, FL 33064-5868

Phone

(754) 779-4574

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Richard S Martins

Title

Ceo

Phone

(754) 779-4574

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1750649927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 NE 44TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645868",
            "telephone_number": "784-779-4574",
            "fax_number": "954-532-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 NE 44TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645868",
            "telephone_number": "754-779-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SOBER LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-779-4574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2035945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "19D2935845",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Pine, D.C.
• Philip Andrew Pine, DDS
• Ross Andrew Pine, D.C.
• Pinehurst Health Care Associates LLC (SeaView Nursing and Rehabilitation Center)
• Elizabeth Pini, BA, MPA, PHD
• Jaqueline Pino
• Michael Pino
• Sergio Pinto-Torres, MD
• Isaidy Pinto
• Paula M Pinto, PT

• Clinical Medical Laboratory in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.