NPIMap

Organization Active NPI

Pinnacle Home Healthcare Services, Inc

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1851719462
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE HOME HEALTHCARE SERVICES, INC
Practice address
324 Grove St
2ND Floor
Worcester, MA 01605
Phone
(888) 510-5055
Fax
(508) 802-5585
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Ms. Pauline W Mwangi, PHARMACIST
Title
Ceo
Phone
(888) 510-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

324 Grove St
2ND Floor
Worcester, MA 01605

Mailing address

324 Grove St
2ND Floor
Worcester, MA 01605
Phone (888) 510-5055

Other identifiers 1

IdentifierTypeStateIssuer
110106054AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140707001474 MA Part A Provider - Home Health Agency 5294950267 Practice locations: Worcester, MA

Home health agency certification: CCN 227615

Legal name
PINNACLE HOME HEALTHCARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 7, 2015
Last certification
Jul 7, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 8, 2014 in MA
Enrollment address
324 Grove St
2ND Floor
Worcester, MA 01605
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pinnacle Home Healthcare ServicesCCN 227615
Ownership
Proprietary
Certified
Jul 7, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Home Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

340 Main St
#856
Worcester, MA 01608
Phone (888) 510-5055

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pauline W Mwangi Individual 5% Or Greater Direct Ownership InterestCeo, Manager Feb 15, 2019 50%
Corporate DirectorCeo, Manager Feb 15, 2019 50%
W-2 Managing EmployeeCeo, Manager Feb 15, 2019 50%
Wallace G Nduati Individual 5% Or Greater Direct Ownership InterestCoo Feb 15, 2019 50%
Corporate DirectorCoo Feb 15, 2019 50%

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1851719462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GROVE ST",
            "address_2": "2ND FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "888-510-5055",
            "fax_number": "508-802-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 GROVE ST",
            "address_2": "2ND FLOOR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "888-510-5055",
            "fax_number": "508-802-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-510-5055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110106054A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.