Organization Active NPI

Petals Personal Homecare Agency LLC

  • Homemaker
  • Bridgeport, CT
National Provider Identifier
1699625244
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
PETALS PERSONAL HOMECARE AGENCY LLC
Practice address
21 Wood Ter
Bridgeport, CT 06604-2432
Phone
(929) 944-5908
NPI assigned
Feb 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Peta-Gay N Simmonds-Carroo, CNANPI 1649139106
Title
Managing Member
Phone
(929) 944-5908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

21 Wood Ter
Bridgeport, CT 06604-2432

Mailing address

21 Wood Ter
Bridgeport, CT 06604-2432
Phone (929) 944-5908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1699625244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOOD TER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042432",
            "telephone_number": "929-944-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOOD TER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042432",
            "telephone_number": "929-944-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETALS PERSONAL HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS-CARROO",
        "authorized_official_first_name": "PETA-GAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "929-944-5908",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.