Active NPI
Pinnacle Home Healthcare Services LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1841351715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011233
- Legal business name
- PINNACLE HOME HEALTHCARE SERVICES LLC
- Practice address
- 9304 Forest LN Ste 240
Dallas, TX 75243-6377 - Phone
- (214) 503-7400
- Fax
- (214) 503-7460
- NPI assigned
- Dec 13, 2006
- Last updated
- Apr 11, 2008
- 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
- Mr. Obie Ifediora
- Title
- Chief Financial Officer
- Phone
- (972) 422-2776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 011233 | TX | Primary |
Addresses
Primary practice location
9304 Forest LN Ste 240
Dallas, TX 75243-6377
Mailing address
9304 Forest LN Ste 240
Dallas, TX 75243-6377
Phone (214) 503-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011233 | Other | TX | HOME HEATH CARE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
9304 Forest Ln
Ste 240
Dallas, TX 75243
Phone (214) 503-7400
9304 Forest Ln
Ste S240
Dallas, TX 75243
Phone (214) 503-7400
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 6, 2017 | Change of Ownership | Pinnacle Home Healthcare Services LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Pinnacle Home Health Care Services
- Home Health Agency
- Garland, TX
- NPI 1558891176
Sold to, 2017-07-06
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1841351715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9304 FOREST LN STE 240",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436377",
"telephone_number": "214-503-7400",
"fax_number": "214-503-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9304 FOREST LN STE 240",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436377",
"telephone_number": "214-503-7400",
"fax_number": "214-503-7460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HOME HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "IFEDIORA",
"authorized_official_first_name": "OBIE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "972-422-2776",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "011233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEATH CARE LICENSE",
"identifier": "011233",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.