Organization Active NPI

Pennie'S R US Corporation

  • Pediatric Skilled Nursing Facility
  • Ellenwood, GA
National Provider Identifier
1811589682
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
PENNIE'S R US CORPORATION
Practice address
4262 Ivy Run # 23
Ellenwood, GA 30294-6522
Phone
(404) 202-4187
Fax
(404) 212-7489
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Ms. Juna G Rankine-Babb
Title
Secretary/Ceo
Phone
(404) 202-4187

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

4262 Ivy Run # 23
Ellenwood, GA 30294-6522

Mailing address

4262 Ivy Run # 23
Ellenwood, GA 30294-6522
Phone (404) 202-4187

Other names 1

  • Pennie's Staffing Agency Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1811589682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 IVY RUN # 23",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946522",
            "telephone_number": "404-202-4187",
            "fax_number": "404-212-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 IVY RUN # 23",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946522",
            "telephone_number": "404-202-4187",
            "fax_number": "404-212-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNIE'S R US CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "RANKINE-BABB",
        "authorized_official_first_name": "JUNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SECRETARY/CEO",
        "authorized_official_telephone_number": "404-202-4187",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennie's Staffing Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pennie's Staffing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.