PINNACLE SENIOR CARE OF WISCONSIN, LLC (NPI# 1326479189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326479189 |
| Entity Type | Organization |
| Organization Name | PINNACLE SENIOR CARE OF WISCONSIN, LLC |
| Other Organization Name | PINNACLE SENIOR CARE |
| Practice Address |
2514 S 102nd St Ste 160c West Allis WI 53227-2154 |
| Mailing Address |
Po Box 99278 Troy MI 48099-9278 |
| Practice Telephone | 4142550340 |
| Practice Fax Number | 8556186655 |
| Mailing Telephone | 2488246000 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | DENNIS E. KNOFF (VP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2488246000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TAXONOMY CODE-HOME HEALTH AGENCY | 251E00000X | 01 |
| Other Name | Type Code |
|---|---|
| Pinnacle Senior Care | Doing Business As Name - Organization |
| Street Address |
2514 S 102ND ST STE 160C |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366088353 | Life Care Personal Care Agency LLC | Home Health | 7730 W National Ave, West Allis, WI 53214-4657 | 2019-11-25 |
| 1578112108 | Avail Home Care LLC | Home Health | 7441 W Greenfield Ave Ste 12, West Allis, WI 53214-4676 | 2019-09-06 |
| 1326609520 | Susie Moore | Home Health | 9330 W Lincoln Ave Ste 20, West Allis, WI 53227-2300 | 2019-06-27 |
| 1063925048 | Dedrick Home Care Services LLC | Home Health | 7732 W National Ave, West Allis, WI 53214-4661 | 2017-11-13 |
| 1790194272 | Comprehensive Health Services, LLC | Home Health | 1623 S 75th St, #207, West Allis, WI 53214-4681 | 2014-08-08 |
| 1487995742 | Jk Consulting, LLC | Home Health | 11015 W. Oklahoma Avenue, 270555, West Allis, WI 53227-4106 | 2013-03-12 |
| 1821014218 | Professional Home Care Services Inc | Home Health | 10827 W Lincoln Ave, West Allis, WI 53227-1127 | 2006-07-15 |
| 1760510358 | Staff One, Ltd. | Home Health | 6737 W Washington St, Suite 2120, West Allis, WI 53214-5647 | 2007-03-02 |
| 1134255037 | Visiting Nurse Association of Wisconsin, Inc. | Home Health | 11333 W National Ave, West Allis, WI 53227-3111 | 2007-02-26 |
| 1588766877 | Family Nursecare of Of Wisconsin, LLC | Home Health | 2448 S 102nd St, Ste. 270, West Allis, WI 53227-2466 | 2006-09-05 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.