Active NPI
Pinnacle Home Care, LLC
- Home Health Agency
- Warwick, RI
National Provider Identifier
1942580659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PINNACLE HOME CARE, LLC
- Practice address
- 57 Kilvert St
Suite 105
Warwick, RI 02886-1065 - Phone
- (401) 921-3133
- Fax
- (401) 921-3240
- NPI assigned
- Aug 25, 2011
- 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
- Orlando J Bisbano Jr.
- Title
- President
- Phone
- (401) 438-2250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
57 Kilvert St
Suite 105
Warwick, RI 02886-1065
Mailing address
57 Kilvert St
Suite 105
Warwick, RI 02886-1065
Phone (401) 921-3133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110923000270 | RI | Part A Provider - Home Health Agency | 5193996197 | Practice locations: Warwick, RI |
Home health agency certification: CCN 417066
- Legal name
- PINNACLE HOME CARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 6, 2012
- Last certification
- Apr 2, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Sep 7, 2010 in RI
- Enrollment address
- 57 Kilvert St
Ste 105
Warwick, RI 02886-1054
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Pinnacle Home Care LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 6, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, 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 |
|---|---|---|---|
| 41D2028106 | Pinnacle Home Care, LLC | Certificate of waiver | Aug 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
57 Kilvert St
Ste 105
Warwick, RI 02886
Phone (401) 921-3133
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Ang Consulting Group | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
| New Care LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
| Ryan Home Healthcare LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 20% |
| Charlesgate Nursing Center | 5% Or Greater Direct Ownership Interest | Dec 1, 2013 | 10% |
| Roselawn Health Partners LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
| Benethan LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
| Westlook Healthcare Partners LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
| Joni Devita | W-2 Managing Employee | Aug 1, 2016 | |
| Orlando J Bisbano | Corporate Officer | Sep 7, 2010 | 34% |
| West Bay Health Investors LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
| Capital Healthcare LLC | 5% Or Greater Direct Ownership Interest | Sep 7, 2010 | 10% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314230400000",
"number": "1942580659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 KILVERT ST",
"address_2": "SUITE 105",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861065",
"telephone_number": "401-921-3133",
"fax_number": "401-921-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 KILVERT ST",
"address_2": "SUITE 105",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861065",
"telephone_number": "401-921-3133",
"fax_number": "401-921-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A",
"authorized_official_last_name": "BISBANO",
"authorized_official_first_name": "ORLANDO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-438-2250",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.