| Organization Name: | PINNACLE PERSONAL CARE, LLC # EMERALD HEALTH CARE LLC SOLE MB |
| NPI Number: | 1114355229 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | COLLEEN RYAN THOMAS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 5627 S Sherwood Forest Blvd Ste B Baton Rouge |
| State: | LA US |
| Postal Code: | 708166032 |
| Phone Number: | 2252152273 |
| Fax Number: | 2252141232 |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 15255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |