Healthcare Provider Details
I. General information
NPI: 1669141214
Provider Name (Legal Business Name): PINNACLE HOME STAGING OF NWA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2021
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3625 W CHESTNUT ST
ROGERS AR
72756-0351
US
IV. Provider business mailing address
3625 W CHESTNUT ST STE B
ROGERS AR
72756-0351
US
V. Phone/Fax
- Phone: 479-246-0101
- Fax:
- Phone: 479-343-8001
- Fax: 479-488-3409
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225000000X |
| Taxonomy | Orthotic Fitter |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARA
HARVEY
Title or Position: CO-OWNER
Credential: PT, DPT
Phone: 479-684-1124