Healthcare Provider Details

I. General information

NPI: 1679299267
Provider Name (Legal Business Name): PINNACLE TRANSPORT LLC, DBA PINNACLE CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2022
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5551 DANUBE ST
DENVER CO
80249-8745
US

IV. Provider business mailing address

5551 DANUBE ST
DENVER CO
80249-8745
US

V. Phone/Fax

Practice location:
  • Phone: 720-215-6701
  • Fax: 720-328-8010
Mailing address:
  • Phone: 720-215-6701
  • Fax: 720-328-8010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHARLES MAOBUGHICHI THOMAS
Title or Position: OWNER
Credential: MD
Phone: 720-215-6701