NPIMap

Peniel 1 Group Home

Organization Active NPI In Home Supportive Care Agency · Tryon, NC

NPI 1336524909 · NPPES record last updated May 5, 2022

Key facts

NPI
1336524909
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
PENIEL 1 GROUP HOME
Practice address
2936 Peniel Rd
Tryon, NC 28782-8807
Phone
(828) 859-0259
NPI assigned
Jul 24, 2015
Organization subpart
Yes
Parent organization (as reported)
SYNERGY IN ACTION

Authorized official

Name
Julie Grigg
Title
Executive Administrator
Phone
(828) 859-0259

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Peniel 1 Group Home (5 organizations share this tax ID)
Part of
Peniel 1 Group Home

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

2936 Peniel Rd
Tryon, NC 28782-8807

Mailing address

20 Jervey Rd
Suite 102
Tryon, NC 28782-0017
Phone (828) 859-0259

Other providers in Tryon, NC

All providers in Tryon, NC · In Home Supportive Care Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.