Organization · Type 2 NPI

Peniston Personal Care Home,llc

Home Health Agency · Fairburn, GA

NPI number 1003465626 Active

Practice location

4680 Sundridge Trl
Fairburn, GA 30213-1997

Fax (770) 892-1051

Specialties and licenses

Taxonomy	Code	License
Home Health Registered Nurse	163WH0200X	None listed
Home Health Agency Primary	251E00000X	None listed
Home Health Aide	374U00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

2 other providers at this address

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About NPI 1003465626

Peniston Personal Care Home,llc's National Provider Identifier is 1003465626, issued on Sep 6, 2019. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Fairburn, GA. The record was last updated on May 18, 2023.