Active NPI
Pinnacle Health Services, Inc.
- Home Health Agency
- Murphy, TX
National Provider Identifier
1841245164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008297
- Legal business name
- PINNACLE HEALTH SERVICES, INC.
- Practice address
- 910 Falcon TRL
Murphy, TX 75094-3836 - Phone
- (214) 340-4000
- Fax
- (214) 340-4097
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Adetokunbo Abosede Brooks, LVN
- Title
- Ceo/Administrator
- Phone
- (214) 340-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008297 | TX | Primary |
Addresses
Primary practice location
910 Falcon TRL
Murphy, TX 75094-3836
Mailing address
910 Falcon TRL
Murphy, TX 75094-3836
Phone (214) 340-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012187 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090303000134 | TX | Part A Provider - Home Health Agency | 0042243917 | Practice locations: Murphy, TX |
Home health agency certification: CCN 679131
- Legal name
- PINNACLE HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 6, 2002
- Last certification
- Apr 25, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 7, 2002 in TX
- Enrollment address
- 910 Falcon Trail
Murphy, TX 75094-3836
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Pinnacle Health Services, Inc
- Ownership
- Proprietary
- Certified
- May 6, 2002
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0992036 | Pinnacle Health Services | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
9535 Forest Ln
Ste 105
Dallas, TX 75243
Phone (214) 340-4000
10925 Estate Ln
Ste 308W
Dallas, TX 75238
Phone (214) 340-4000
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adetokunbo Brooks | 5% Or Greater Direct Ownership Interest | Jan 1, 2003 | 100% |
| Corporate Director | Jan 1, 2003 | ||
| W-2 Managing Employee | Jan 1, 2003 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456704000000",
"number": "1841245164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 FALCON TRL",
"city": "MURPHY",
"state": "TX",
"postal_code": "750943836",
"telephone_number": "214-340-4000",
"fax_number": "214-340-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 FALCON TRL",
"city": "MURPHY",
"state": "TX",
"postal_code": "750943836",
"telephone_number": "214-340-4000",
"fax_number": "214-340-4097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2016-02-29",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "ADETOKUNBO",
"authorized_official_middle_name": "ABOSEDE",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "214-340-4000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001012187",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murphy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.