Pennie Jewell

Individual provider Active NPI Community Health Worker · Athens, MI

NPI 1750144069 · NPPES record last updated Jan 31, 2024

Key facts

NPI
1750144069
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
110 E Mill
Athens, MI 49011-5110
Phone
(269) 275-3559
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Home Care Solutions LLC Current Accepting new patients
Athens Home Care Solutions LLC Community Health Worker Current
since Feb 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MI Yes

Addresses

Primary practice location

110 E Mill
Athens, MI 49011-5110

Mailing address

110 E Mill
Athens, MI 49011-5110
Phone (269) 275-3559

Other providers in Athens, MI

All providers in Athens, MI · Community Health Worker in Michigan

Sources for this page

Verify at the official NPI Registry.