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NPI Code Detail

MEDICARE: PINNACLE HEALTH FACILITIES XVI LP

MEDICARE: PINNACLE HEALTH FACILITIES XVI LP
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
1385H00000XRespite Care23R455CO
2310400000XAssisted Living Facility23R455CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629236112
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE HEALTH FACILITIES XVI LP
Provider Business Mailing Address
First Line : 5420 W PLANO PKWY
Second Line :
City : PLANO
State : TX
Zip : 75093-4823
Country : US
Telephone Number : 972-931-3800
Fax Number : 972-930-8191
Provider Business Practice Location Address
First Line : 816 S INTEROCEAN AVE
Second Line :
City : HOLYOKE
State : CO
Zip : 80734-2120
Country : US
Telephone Number : 970-854-5180
Fax Number : 970-854-5194
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : MRS. JAMIE LATTURE COLLIER
Credential :
Telephone Number : 972-931-3800
Provider Enumeration Date : 05/30/2008
Last Update Date : 02/20/2017

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Directions to “PINNACLE HEALTH FACILITIES XVI LP ” Practice Location

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