Provider Demographics
NPI:1255373569
Name:PINNACLE HEALTH HOME CARE & HOSPICE
Entity type:Organization
Organization Name:PINNACLE HEALTH HOME CARE & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT AND COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:W
Authorized Official - Last Name:GUARNESCHELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-782-5181
Mailing Address - Street 1:2645 N 3RD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2001
Mailing Address - Country:US
Mailing Address - Phone:717-782-2300
Mailing Address - Fax:717-724-6671
Practice Address - Street 1:2645 N 3RD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2001
Practice Address - Country:US
Practice Address - Phone:717-782-2300
Practice Address - Fax:717-724-6671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA150999251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01154450Medicaid
PA01154450Medicaid