PINNACLE HOMES DDA LLC NPI 1205913019

NPI Information

  • NPI: 1205913019
  • Provider Name: PINNACLE HOMES, DDA, LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 1169 PERCH RD
    PINNACLE, NC
    ZIP 27043
  • Phone: (336) 368-2778

Map and Directions

Get Directions

NPI Details

PINNACLE HOMES, DDA, LLC is a community based residential treatment facility mental illness in Pinnacle, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PINNACLE HOMES, DDA, LLC NPI is 1205913019. The provider is registered as an organization entity type.

The provider's business location address is:

1169 PERCH RD
PINNACLE, NC
ZIP 27043-312
Phone: (336) 368-2778
Fax: (336) 368-2779

The provider's authorized official is Earl R. Forest .
The authorized official title is Administrator and has the following contact phone number (336) 368-2778.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL085028NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804284MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI