Healthcare Provider Details

I. General information

NPI: 1659217743
Provider Name (Legal Business Name): PINNACLE LIFE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2928 WILD LAUREL CT
NORCROSS GA
30071-8506
US

IV. Provider business mailing address

2928 WILD LAUREL CT
NORCROSS GA
30071-8506
US

V. Phone/Fax

Practice location:
  • Phone: 678-808-9806
  • Fax: 678-808-9806
Mailing address:
  • Phone: 678-808-9806
  • Fax: 678-808-9806

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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. UGO NKEM NWAZUOSA
Title or Position: DIRECTOR OF OPERATIONS
Credential: NWAZUOSA
Phone: 678-808-9806