=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831341080
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PINNACLE TRANSITION SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2008
-----------------------------------------------------
Last Update Date | 10/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14418 GADSHILL CIR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77044-4917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-480-8732
-----------------------------------------------------
Fax | 713-988-6215
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14418 GADSHILL CIR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77044-4917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-480-8732
-----------------------------------------------------
Fax | 713-988-6215
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. ZENOBIA ANEKWE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-480-8732
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------