Provider Demographics
NPI:1467333005
Name:PINNACLE ASSISTED LIVING SERVICES LLC
Entity type:Organization
Organization Name:PINNACLE ASSISTED LIVING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GILDO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:GORNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-397-2944
Mailing Address - Street 1:146 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:WI
Mailing Address - Zip Code:53190-1950
Mailing Address - Country:US
Mailing Address - Phone:920-397-2944
Mailing Address - Fax:262-458-2422
Practice Address - Street 1:1008 W BLACKHAWK DR
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1025
Practice Address - Country:US
Practice Address - Phone:920-397-2944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care