Organization Active NPI

Pinnacle Home Health Agency LLC

  • Home Health Agency
  • Walnut Creek, CA
National Provider Identifier
1992133391
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINNACLE HOME HEALTH AGENCY LLC
Practice address
1375 Locust St
Suite M200
Walnut Creek, CA 94596-4591
Phone
(650) 218-3788
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Lionel Madamba
Title
Owner
Phone
(650) 218-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1375 Locust St
Suite M200
Walnut Creek, CA 94596-4591

Mailing address

1375 Locust St
Suite M200
Walnut Creek, CA 94596-4591

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

1375 Locust St
Ste M200
Walnut Creek, CA 94596
Phone (650) 218-3788

1375 Locust St
#M200
Walnut Creek, CA 94596
Phone (510) 367-4223

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2019 Change of OwnershipThis provider was the seller Pinnacle Home Health Agency, Inc.CCN 059712, CA, NPI 1518656461

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": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1992133391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 LOCUST ST",
            "address_2": "SUITE M200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 LOCUST ST",
            "address_2": "SUITE M200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964591",
            "telephone_number": "650-218-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "MADAMBA",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-218-3788"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.