MEDICARE: STEVENSON PINNACLE HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063026722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVENSON PINNACLE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	61 DRAKE AVE APT A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-4120
Country	:	US
Telephone Number	:	336-263-5648
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 DRAKE AVE APT A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-4120
Country	:	US
Telephone Number	:	336-263-5648
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEFON STEVENSON
Credential	:
Telephone Number	:	336-263-5648

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	09/23/2020

Similar Medicare Providers

1114908928 — KAREN A JOBALIA MD
Practice Location Address:

1 WYOMING ST STE 4120
DAYTON, OH
45409-2722

Practice Phone: 937-499-7364
Practice Fax:

1790199107 — DR. CRAIG WILLIS CHAVEZ M.D
Practice Location Address:

1 WYOMING ST STE 4120
DAYTON, OH
45409-2722

Practice Phone: 937-499-7364
Practice Fax:

1558067116 — SIDNEY LASHAUN TURNER
Practice Location Address:

2118 RECTOR AVE
DAYTON, OH
45414-4120

Practice Phone: 937-248-5862
Practice Fax:

1912850595 — FALLON BRADFORD
Practice Location Address:

4120 BROOKDALE LN UNIT 1
DAYTON, OH
45440-3998

Practice Phone: 937-901-1439
Practice Fax:

1326651084 — BOYS TO MEN TRANSITIONAL HOME INC.
Practice Location Address:

117 ASHWOOD AVE
DAYTON, OH
45405-2643

Practice Phone: 937-673-8951
Practice Fax: 937-221-8003

1457735318 — DR. NISHA DEOL M.D.
Practice Location Address:

405 W GRAND AVE
DAYTON, OH
45405-7538

Practice Phone: 937-723-3276
Practice Fax: 937-723-3277

Directions to “STEVENSON PINNACLE HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.