MEDICARE: PINNACLE HOSPICE SERVICES, 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
1	251G00000X	Community Based Hospice Care Agency		TX

General Provider Information

NPI Number	:	1518050749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE HOSPICE SERVICES, LLC

Provider Business Mailing Address
First Line	:	27000 HILLS TECH CT
Second Line	:	STE. 200
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3412
Country	:	US
Telephone Number	:	248-324-0700
Fax Number	:	248-324-1477

Provider Business Practice Location Address
First Line	:	7322 SOUTHWEST FWY
Second Line	:	STE. 170
City	:	HOUSTON
State	:	TX
Zip	:	77074-2010
Country	:	US
Telephone Number	:	713-532-1722
Fax Number	:	713-532-1733

Authorized Official
Title or Position	:	CEO
Name	:	MARK MITCHELL
Credential	:
Telephone Number	:	248-893-0500

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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