Provider Demographics
NPI:1730332933
Name:PINNACLE
Entity type:Organization
Organization Name:PINNACLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AVELINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:949-285-4251
Mailing Address - Street 1:13743 E MISSISSIPPI AVE
Mailing Address - Street 2:102
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6163
Mailing Address - Country:US
Mailing Address - Phone:303-344-0051
Mailing Address - Fax:303-364-1131
Practice Address - Street 1:13743 E MISSISSIPPI AVE
Practice Address - Street 2:102
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-6163
Practice Address - Country:US
Practice Address - Phone:303-344-0051
Practice Address - Fax:303-364-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based