location
search-icon
institution
Peniston Personal Care Home,llc
Home Health Aide in Fairburn, Georgia
NPI 1003465626

Peniston Personal Care Home,llc is a Home Health Aide based in Fairburn, GA. Peniston Personal Care Home,llc practices in Fairburn, GA. The NPI Number for Peniston Personal Care Home,llc is 1003465626 and holds a License No. (Georgia).

The current practice location address for Peniston Personal Care Home,llc is 4680 Sundridge Trl, Fairburn, GA and can be reached out via phone at 678-545-3934 and via fax at 770-892-1051.

Location: 4680 Sundridge Trl, Fairburn, GA, 30213-1997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003465626
Provider Name
Peniston Personal Care Home,llc
Credential
Provider Entity Type
Organization
Address
4680 Sundridge Trl, Fairburn, GA, 30213-1997
Phone Number
678-545-3934
Fax Number
770-892-1051
Provider Enumeration Date
09/06/2019
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003217267B 05 GA
003217267A 05 GA
institution
Provider Business Practice Location Address Details
Address
4680 Sundridge Trl
City
Fairburn
State
Georgia
Zip
30213-1997
Phone Number
678-545-3934
Fax Number
770-892-1051
person
Provider Business Mailing Address Details
Address
4680 Sundridge Trl
City
Fairburn
State
Georgia
Zip
30213-1997
Phone Number
678-545-3934
Fax Number
770-892-1051
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A 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 pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.