Penny Lane Assisted Care LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

PENNY LANE ASSISTED CARE LLC

Practice address

222 South St
Fitchburg, MA 01420-7939

Phone

(978) 343-7400

NPI assigned

Feb 10, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamshed Khan

Title

Managing Partner

Phone

(617) 319-2914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1396442240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2063",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014200012",
            "telephone_number": "978-343-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207939",
            "telephone_number": "978-343-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY LANE ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAMSHED",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "617-319-2914"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Pelletier, CNM
• Michael Robert Pelletier, DMD
• Pelmeds Fitchburg
• Donna Marie Peloquin I
• Briana Marie Pelton
• Venkata Murali Sai S Penumetcha, MD
• Perceptions Psychothherapy
• Heather Percy, BA
• Xiomiberth Perez de la Rosa
• Maria Perez

• Lodging Provider in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Lodging Provider in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.