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1659217743 NPI number — PINNACLE LIFE HEALTHCARE

NPI Number: 1659217743
Health Care Provider/Practitioner: PINNACLE LIFE HEALTHCARE

Information about “1659217743” NPI (PINNACLE LIFE HEALTHCARE) exists in 1659217743 in HTML format HTML  |  1659217743 in plain Text format TXT  |  1659217743 in PDF (Portable Document Format) PDF  |  1659217743 in an XML format XML  formats.

NPI Number : 1659217743 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659217743",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PINNACLE LIFE HEALTHCARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2928 WILD LAUREL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORCROSS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30071-8506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-808-9806",
    "MailingAddressFaxNumber": "678-808-9806",
    "FirstLinePracticeLocationAddress": "2928 WILD LAUREL CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORCROSS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30071-8506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-808-9806",
    "PracticeLocationAddressFaxNumber": "678-808-9806",
    "EnumerationDate": "04/28/2026",
    "LastUpdateDate": "04/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NWAZUOSA",
    "AuthorizedOfficialFirstName": "UGO",
    "AuthorizedOfficialMiddleName": "NKEM",
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NWAZUOSA",
    "AuthorizedOfficialTelephoneNumber": "678-808-9806",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "374U00000X",
          "TaxonomyName": "Home Health Aide",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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