Louis H Pennell

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4436 Elm Ave
Brunswick, OH 44212-1108

Phone

(330) 416-7888

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1063105963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 ELM AVE",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442121108",
            "telephone_number": "330-416-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 ELM AVE",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442121108",
            "telephone_number": "330-416-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "LOUIS",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearlview Divine Opco LLC
• Pearlview SNF Opco LLC
• Kyle Peck
• Caitlin Pelat, RD, LD
• Alma Deanne Pennell
• F. Todd Perzy, O.D.
• Paul Michael Petrella II, RPH
• Pharmcare USA of Ohio, LLC
• Amy Phelps
• Lori Ann Pickering, P.T.

• Contractor in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.