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NPI Code Detail

MEDICARE: PINNACLE CMS LLC

MEDICARE: PINNACLE CMS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1215899190
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE CMS LLC
Provider Business Mailing Address
First Line : 10161 PARK RUN DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8872
Country : US
Telephone Number : 702-483-8119
Fax Number :
Provider Business Practice Location Address
First Line : 10161 PARK RUN DR STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8872
Country : US
Telephone Number : 702-483-8119
Fax Number :
Authorized Official
Title or Position : AUTHORIZED REPRESENTATIVE
Name : ANDRE HAYNES
Credential :
Telephone Number : 702-483-8119
Provider Enumeration Date : 11/29/2025
Last Update Date : 04/08/2026

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Directions to “PINNACLE CMS LLC ” Practice Location

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