Penny Lane Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1054038-2-AFC Issued in MN

Legal business name

PENNY LANE HOMES

Practice address

1285 70TH St W
Inver Grove Heights, MN 55077-2305

Phone

(651) 497-1717

NPI assigned

Apr 16, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey Dale Fenske

Title

Director

Phone

(651) 497-1717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1396061297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 70TH ST W",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772305",
            "telephone_number": "651-497-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 70TH ST W",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550772305",
            "telephone_number": "651-497-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY LANE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "FENSKE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-497-1717"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1054038-2-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PDG, P.a.
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• Pediatric Therapy Options, LLC
• Joshua William Peiffer
• Sochenda Pen
• Carrie Buerman Peroutka, DDS
• Personalized Care for All LLC
• Chelsey Marie Peters
• Erik James Peterson, D.C.
• Tara Skelly Peterson, DDS

• Adult Care Home Facility in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.