Penberthyholdings, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

PENBERTHYHOLDINGS, LLC

Practice address

102 Bailey St
Farmington, MO 63640-1819

Phone

(573) 756-6374

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Brandon Penberthy

Title

Owner

Phone

(314) 315-6272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1215776422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7164 ROSEMARY LN",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630163130",
            "telephone_number": "314-315-6272",
            "fax_number": "314-475-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BAILEY ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401819",
            "telephone_number": "573-756-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENBERTHYHOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "PENBERTHY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-315-6272"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Lynn Peery, BSN, RN
• Kristina Dawn Peirce, LPC
• David Bryan Peppers, MSW
• Steven David Perry, D.M.D.
• Krista Peterson
• Janet Petty, LPC
• Marsha Ann Petty, MSW

• Nursing Facility/Intermediate Care Facility in Farmington, MO
• Providers in Farmington, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.