Organization Active NPI

Pinnacle Home Healthcare Services LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1841351715
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011233 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
011233OtherTXHOME 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 Directory

Locations

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

DateEventCounterparty
Jul 6, 2017 Change of OwnershipThis provider was the seller Pinnacle Home Healthcare Services LLCCCN 677839, TX, NPI 1558891176

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.