Petrenella Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PETRENELLA HOMECARE LLC

Practice address

843 S Longmore Apt 1123
Mesa, AZ 85202-3157

Phone

(480) 343-3970

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Demarcus Martin

Title

Owner

Phone

(480) 343-3970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1659161982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 S LONGMORE APT 1123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852023157",
            "telephone_number": "480-343-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 S LONGMORE APT 1123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852023157",
            "telephone_number": "480-343-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRENELLA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEMARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-343-3970"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Lynn Peterson II
• Terry K Peterson, CH
• Todd G Peterson, MD
• Charlotte Petin, PA-C
• Katherine Lee Petkovich, DNP, RN, CPNP-PC
• Maureen Ann Petrides, ANP
• Mary Petrini
• Melanie Ann Petrucci
• Rachel Petrus, NP-C
• Adrian Pettaway, ATC

• In Home Supportive Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.