Healthcare Provider Details

I. General information

NPI: 1003671827
Provider Name (Legal Business Name): PINNACLE HOME HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 GROVE ST STE 2
WORCESTER MA
01605-3936
US

IV. Provider business mailing address

324 GROVE ST STE 2
WORCESTER MA
01605-3936
US

V. Phone/Fax

Practice location:
  • Phone: 888-510-5055
  • Fax: 508-802-5585
Mailing address:
  • Phone: 888-510-5055
  • Fax: 508-802-5585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PAULINE W MWANGI
Title or Position: CEO
Credential:
Phone: 888-510-5055