- Enrollment id
- O20190816000739
- Enrollment state
- PA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1417416926
- Multiple npi flag
- N
- Ccn
- 391697
- Associate id
- 1052648805
- Organization name
- PINNACLE HOSPICE, LLC
- Incorporation date
- 2019-02-28
- Incorporation state
- PA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2605 NICHOLSON RD
- Address line 2
- STE 3220
- City
- SEWICKLEY
- State
- PA
- Zip code
- 151437608