Provider Demographics
NPI:1003154600
Name:PINNACLE SENIOR CARE OF MISSOURI, LLC
Entity type:Organization
Organization Name:PINNACLE SENIOR CARE OF MISSOURI, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-748-5908
Mailing Address - Street 1:34 35TH ST STE 4-5B516
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2021
Mailing Address - Country:US
Mailing Address - Phone:718-748-5908
Mailing Address - Fax:
Practice Address - Street 1:8706 MANCHESTER RD
Practice Address - Street 2:#108
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-2733
Practice Address - Country:US
Practice Address - Phone:314-266-0970
Practice Address - Fax:778-320-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO957-HHOtherSTATE LICENSE