Healthcare Provider Details

I. General information

NPI: 1205964491
Provider Name (Legal Business Name): PINNACLE COMMUNITY SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 W CHEYENNE AVE
NORTH LAS VEGAS NV
89032-8204
US

IV. Provider business mailing address

845 PROTON RD
SAN ANTONIO TX
78258-4203
US

V. Phone/Fax

Practice location:
  • Phone: 702-798-2700
  • Fax:
Mailing address:
  • Phone: 210-340-7155
  • Fax: 210-340-4832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number81947
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number74291
License Number StateNV

VIII. Authorized Official

Name: MIKE HAWKER
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CFO
Phone: 210-340-7155