Healthcare Provider Details
I. General information
NPI: 1639878192
Provider Name (Legal Business Name): PINNACLE CARE OF BATTLE CREEK LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2023
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
675 WAGNER DR
BATTLE CREEK MI
49017-5721
US
IV. Provider business mailing address
24361 GREENFIELD RD STE 208I
SOUTHFIELD MI
48075-3165
US
V. Phone/Fax
- Phone: 269-969-6244
- Fax:
- Phone: 248-635-4650
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YISROEL
LEVINE
Title or Position: OPERATOR
Credential: LNHA
Phone: 248-635-4650