Active NPI
Penny Health Services
- In Home Supportive Care Agency
- Kennesaw, GA
National Provider Identifier
1548496987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 033-R-0421
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.