Organization Active NPI

Penny Health Services

  • In Home Supportive Care Agency
  • Kennesaw, GA
National Provider Identifier
1548496987
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
033-R-0421 Issued in GA
Legal business name
PENNY HEALTH SERVICES
Practice address
3061 Elmendorf LN NW
Kennesaw, GA 30144-7426
Phone
(678) 933-4139
Fax
(678) 574-6930
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Mrs. Penninah N Ndungu, RN
Title
Admnistrator
Phone
(678) 933-4139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 033-R-0421 GA Primary

Addresses

Primary practice location

3061 Elmendorf LN NW
Kennesaw, GA 30144-7426

Mailing address

3061 Elmendorf LN NW
Kennesaw, GA 30144-7426
Phone (678) 933-4139

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1548496987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 ELMENDORF LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447426",
            "telephone_number": "678-933-4139",
            "fax_number": "678-574-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 ELMENDORF LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447426",
            "telephone_number": "678-933-4139",
            "fax_number": "678-574-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "PENNINAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "678-933-4139",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-0421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.