Organization Active NPI

Pink Penny Care, LLC

Doing business as The Pink Penny Private Homecare, LLC

  • In Home Supportive Care Agency
  • Moultrie, GA
National Provider Identifier
1104329689
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PINK PENNY CARE, LLC
Practice address
127 Rowland Dr Unit C
Moultrie, GA 31768-4120
Phone
(229) 529-6473
Fax
(229) 616-4224
NPI assigned
Mar 12, 2018
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Shanta Lacole Clayton, RNNPI 1831699586
Title
RN/Ceo
Phone
(229) 891-3198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Clinical Medical Laboratory 291U00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

127 Rowland Dr Unit C
Moultrie, GA 31768-4120

Mailing address

127 C Rowland Drive Unit C
Moultrie, GA 31768
Phone (229) 891-3198

Other names 1

  • The Pink Penny Private Homecare, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lacole@thepinkpennyhomecare.com

National Provider Directory

National Provider Directory

Locations

127 Rowland Dr
Unit C
Moultrie, GA 31768
Phone (229) 529-6473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1104329689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 C ROWLAND DRIVE UNIT C",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "31768",
            "telephone_number": "229-891-3198",
            "fax_number": "229-616-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROWLAND DR UNIT C",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684120",
            "telephone_number": "229-529-6473",
            "fax_number": "229-616-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK PENNY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_middle_name": "LACOLE",
        "authorized_official_title_or_position": "RN/CEO",
        "authorized_official_telephone_number": "229-891-3198",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lacole@thepinkpennyhomecare.com",
            "affiliation": "N",
            "address_1": "127 Rowland Dr Unit C",
            "city": "Moultrie",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317684120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "THE PINK PENNY PRIVATE HOMECARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE PINK PENNY PRIVATE HOMECARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pink Penny Private Homecare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.