Penrose Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PENROSE HOME CARE LLC

Practice address

13137 Champaign Ave
Warren, MI 48089-4504

Phone

(267) 367-0123

NPI assigned

Aug 17, 2026

Organization subpart

No

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

Authorized official

Name

MD Dostgir Khan Nofayel

Title

Owner/Managing Member

Phone

(267) 367-0123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1902711625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 HARTEL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523706",
            "telephone_number": "267-367-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13137 CHAMPAIGN AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894504",
            "telephone_number": "267-367-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENROSE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "NOFAYEL",
        "authorized_official_first_name": "MD DOSTGIR",
        "authorized_official_middle_name": "KHAN",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "267-367-0123"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhaniya Peeple
• Ava Peera
• Pegasus Diagnostics Inc
• Paul Mark Peiffer, OD
• Atearah Pelham
• Rachel Elissa Pensler, D.O.
• Sreelatha Penumalee, MD
• Amarjit K Peponis, RPH
• Sorina Peret, DDS
• Janina Angelica Perez I

• In Home Supportive Care Agency in Warren, MI
• Providers in Warren, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.