NPI age
7 years
Enumerated 2019-09-06
● Active Type 2 · Organization
Peniston Personal Care Home,llc
Peniston Personal Care Home,llc is 1 of 3,203 home health organizations in Georgia.
Primary specialty
Home Health
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Houston
Owner
Last NPPES update
2023-05-18
Source: CMS NPPES provider record
How this organization compares
Across 3203 active home health providers in Georgia.
NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 19% of peers with subspecialties
NPI lifetime · 2019 → 2023
2019-09Enumerated in NPPES
2019
2023
Where they practice
Primary practice location
4680 Sundridge Trl
Fairburn, GA 302131997
Mailing address
4680 Sundridge Trl
Fairburn, GA 302131997
Authorized official
Breezy U Houston
Owner
📞 6785453934
Other providers sharing this address
1 individual provider use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Breezy Houston Community/Behavioral Health NPI 1265972632
Specialties
-
Home Health PrimaryA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
-
Home Health AideA person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
-
Registered NurseCMS NPPES uses NUCC taxonomy code 163WH0200X for provider records classified as Home Health within Registered Nurse. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003217267B | |
| 05 (GA) | 003217267A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Peniston Personal Care Home, LLC
Practice context
Shared NPPES address. 1 individual provider use this primary address. This does not prove employment or affiliation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.