Peniston Personal Care Home,Llc
LBN: Peniston Personal Care Home,Llc
Peniston Personal Care Home,Llc is an health care organization with primary practice located at 4680 Sundridge Trl , Fairburn GA 30213-1997. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Agencies / Home Health, Nursing Service Related Providers / Home Health Aide. Agencies / Home Health is the primary health care specialty.
Peniston Personal Care Home,Llc can be contacted via phone (678) 545-3934, or through Houston, Breezy U via phone (678) 545-3934.
Contact Information
Primary practice address
4680 Sundridge Trl
Fairburn GA 30213-1997
Phone: (678) 545-3934
Fax: (770) 892-1051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | ||
| Agencies / Home Health | 251E00000X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1003465626 |
|---|---|
| LBN Legal business name | Peniston Personal Care Home,Llc |
| DBA Doing business as | |
| Authorized official | Houston, Breezy U |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2019 |
| Last updated | May 18th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003465626 | NPPES |
| Georgia | MEDICAID | 003217267B | |
| Georgia | MEDICAID | 003217267A |
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