NPIMap

Organization Active NPI

Peniel 2 Group Home

  • In Home Supportive Care Agency
  • Tryon, NC
National Provider Identifier
1013392851
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PENIEL 2 GROUP HOME
Practice address
2960 Peniel Rd
Tryon, NC 28782-8807
Phone
(828) 859-0259
NPI assigned
Jul 22, 2015
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SYNERGY IN ACTIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Grigg
Title
Executive Administrator
Phone
(828) 859-0259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2960 Peniel Rd
Tryon, NC 28782-8807

Mailing address

20 Jervey Rd
Suite 102
Tryon, NC 28782-0017
Phone (828) 859-0259

National Provider Directory

National Provider Directory
Tax ID family
Peniel 2 Group Home5 organizations share this tax ID, including this one
Part of
Peniel 2 Group Home

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1013392851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JERVEY RD",
            "address_2": "SUITE 102",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287820017",
            "telephone_number": "828-859-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 PENIEL RD",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287828807",
            "telephone_number": "828-859-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENIEL 2 GROUP HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY IN ACTION",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "GRIGG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "828-859-0259"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tryon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.