Healthcare Provider Details

I. General information

NPI: 1528857760
Provider Name (Legal Business Name): PINNACLE CARE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/08/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5627 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6032
US

IV. Provider business mailing address

5627 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6032
US

V. Phone/Fax

Practice location:
  • Phone: 225-248-8600
  • Fax:
Mailing address:
  • Phone: 225-248-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY TULLIER
Title or Position: CFO
Credential:
Phone: 225-248-8600