NPIMap

Organization Active NPI

Pinnacle Home Care of the Villages LLC

  • Home Health Agency
  • The Villages, FL
National Provider Identifier
1982933321
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE HOME CARE OF THE VILLAGES LLC
Practice address
8483 SE 165TH Mulberry LN Ste 200
The Villages, FL 32162-5848
Phone
(813) 814-6000
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Max Lafer
Title
President
Phone
(813) 814-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8483 SE 165TH Mulberry LN Ste 200
The Villages, FL 32162-5848

Mailing address

4023 Tampa Rd Ste 2200
Oldsmar, FL 34677-3212
Phone (813) 814-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000403 FL Part A Provider - Home Health Agency 2264615848 Practice locations: Fruitland Park, FL; Trenton, FL

Home health agency certification: CCN 109702

Legal name
PINNACLE HOME CARE OF THE VILLAGES INC
Doing business as
PINNACLE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2011
Last certification
Mar 20, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 16, 2009 in FL
Enrollment address
1213 West Miller Street
Suite 1
Fruitland Park, FL 34731-3029

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pinnacle Home Care of the Villages IncCCN 109702
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 1, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
10D2006652Pinnacle Home Care of the Villages, LLC8483 SE 165TH Mulberry Lane, Suite 200, The Villages, FL 32162Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Home Care of the Villages LLC2 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

1213 W Miller St
Ste 1
Fruitland Park, FL 34731
Phone (352) 314-9500

6645 Ridge Rd
Port Richey, FL 34668

8483 SE 165th Mulberry Ln
Ste 200
The Villages, FL 32162

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
Pinnacle Home Care Holdings LLC. Organization, Oldsmar, FL LLC 5% Or Greater Indirect Ownership Interest Jul 13, 2018 100%
Shane Donaldson Individual 5% Or Greater Direct Ownership InterestCeo Aug 11, 2010 100%
Corporate OfficerCeo Aug 11, 2010 100%
Corporate Director Aug 11, 2010
W-2 Managing EmployeeCeo Aug 11, 2010 100%

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 237

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 237

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1982933321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 TAMPA RD STE 2200",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773212",
            "telephone_number": "813-814-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 SE 165TH MULBERRY LN STE 200",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625848",
            "telephone_number": "813-814-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME CARE OF THE VILLAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "LAFER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-814-6000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.