Organization Active NPI

Pinnacle Home Care, LLC

  • Home Health Agency
  • Warwick, RI
National Provider Identifier
1942580659
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 25, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Sep 7, 2010 in RI
Enrollment address
57 Kilvert St
Ste 105
Warwick, RI 02886-1054
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pinnacle Home Care LLCCCN 417066
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Mar 6, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2028106Pinnacle Home Care, LLC57 Kilvert St, Suite 105, Warwick, RI 02886Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ang Consulting Group Organization, Smithfield, RI Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 10%
New Care LLC Organization, Middletown, RI Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 10%
Ryan Home Healthcare LLC Organization, Providence, RI Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 20%
Charlesgate Nursing Center Organization, Providence, RI Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2013 10%
Roselawn Health Partners LLC Organization, Forestdale, RI Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 10%
Benethan LLC Organization, Swansea, MA LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 10%
Westlook Healthcare Partners LLC Organization, Westport, MA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 10%
Joni Devita Individual W-2 Managing EmployeeExecutive Director Aug 1, 2016
Orlando J Bisbano Individual Corporate OfficerPresident, Board Member Sep 7, 2010 34%
West Bay Health Investors LLC Organization, West Warwick, RI Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 7, 2010 10%
Capital Healthcare LLC Organization, Riverside, RI Created for acquisition, LLC, For-profit 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

Verify at the official NPI Registry.