Penny'S Guest Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PENNY'S GUEST HOME

Doing business as

Penny's Guest Home, LLC

Practice address

1760 Ayers Rd
Concord, CA 94521-2305

Phone

(925) 375-1264

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Josefina Gardner

Title

Licensee

Phone

(925) 286-0424

Specialties & licenses 1

Addresses

Other names 1

• Penny's Guest Home, LLC Doing business as

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1063284628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 ROSEHEDGE CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945215453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 AYERS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212305",
            "telephone_number": "925-375-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY'S GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "925-286-0424"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penny's Guest Home, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mike Peng
• Piper Penhasi
• Kevin Mitchell Penn
• Bobby Pennington
• Clare Penny, MA, BCBA
• Nikki Perales
• Irais Peralta Olguin
• Isabelle Peralta
• Marisol Peralta
• Savanna O Peralta, CB61478882

• Assisted Living Facility in Concord, CA
• Providers in Concord, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.