- Enrollment id
- O20200918000901
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1518656461
- Multiple npi flag
- N
- Ccn
- 059712
- Associate id
- 8820416118
- Organization name
- PINNACLE HOME HEALTH AGENCY, INC.
- Incorporation date
- 2019-06-20
- Incorporation state
- CA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1375 LOCUST ST
- Address line 2
- STE 200M
- City
- WALNUT CREEK
- State
- CA
- Zip code
- 945964528
- Practice location type
- HHA BRANCH