Active NPI
Pennie'S R US Corporation
- Pediatric Skilled Nursing Facility
- Ellenwood, GA
National Provider Identifier
1811589682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Ellenwood, GA
- NPI 1427894732
-
- Nurse's Aide
- Ellenwood, GA
- NPI 1699625582
-
- Registered Nurse
- Ellenwood, GA
- NPI 1548129745
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.