Organization Active NPI

Penda Homecare LLC

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1295547834
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PENDA HOMECARE LLC
Practice address
3455 Kearny Villa Rd Apt 129
San Diego, CA 92123-1974
Phone
(619) 483-6656
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Miss Mildred Kiminyei
Title
Ceo
Phone
(619) 483-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3455 Kearny Villa Rd Apt 129
San Diego, CA 92123-1974

Mailing address

3455 Kearny Villa Rd Apt 129
San Diego, CA 92123-1974
Phone (619) 483-6656

Other names 1

  • Penda Senior Home care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1295547834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 KEARNY VILLA RD APT 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231974",
            "telephone_number": "619-483-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 KEARNY VILLA RD APT 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231974",
            "telephone_number": "619-483-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "KIMINYEI",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-483-6656",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penda Senior Home care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.