PENIEL HOME CARE LLC (NPI# 1871136416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871136416 |
| Entity Type | Organization |
| Organization Name | PENIEL HOME CARE LLC |
| Practice Address |
5551 Nw 125th Ter Coral Springs FL 33076-3432 |
| Practice Telephone | 8664736435 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | MS. SHERLEY MARC (COE/ADMINISTRATOR) |
| Authorized Official Telephone | 7869851209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
5551 NW 125TH TER |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33076-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589134 | Zachary Scott Johnson | Dietitian, Registered | 10150 Nw 58th Ct, Parkland, FL 33076 | 2020-05-18 |
| 1730709692 | Zach Carl Rice | Counselor | 12155 Nw, 71st, Parkland, FL 33076 | 2020-04-21 |
| 1184268062 | Saul Grabosky | Pharmacist | 6001 Coral Ridge Drive, Coral Springs, FL 33076 | 2019-11-04 |
| 1295205359 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4621 Coral Ridge Dr., Coral Springs, FL 33076 | 2018-12-03 |
| 1497263636 | Nathalie Toro | Behavioral Analyst | 7796 Nw 110th Dr., Parkland, FL 33076 | 2018-01-22 |
| 1124532668 | Melissa Danielle Winter | Developmental Therapist | 8191 Canopy Ter, Parkland, FL 33076 | 2017-11-20 |
| 1821510546 | Sheryl Santiago Delgado | Physical Therapist | 4789 Nw 116th Ter, Coral Springs, FL 33076 | 2017-07-14 |
| 1730600453 | Ieda Schumacher Faircloth | Surgery | 4811 Nw 103 Drive, Coral Springs, FL 33076 | 2017-07-03 |
| 1679015069 | Riley Nguyen | Physical Therapy Assistant | 5830 Coral Ridge Drive S-300, Coral Springs, FL 33076 | 2016-11-16 |
| 1508313578 | Paola Alejandra Kesman | Dentist | 11980 Nw 81 Court, Parkland, FL 33076 | 2016-09-07 |
| Find all providers in zip 33076 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574330 | Carmen Yadira Fenollal Gonzalez | Homemaker | 9050 Nw 28th St Apt 120, Coral Springs, FL 33065-5213 | 2018-04-02 |
| 1548639016 | Kuckamy, Inc. | Homemaker | 12350 W Sample Rd, Coral Springs, FL 33065-8021 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558172 | Katrina Ann Fils-aime | Homemaker | 501 Goodlette-frank Rd N Ste D100, Naples, FL 34102-5666 | 2020-11-07 |
| 1538760368 | Tonique L Brown | Homemaker | 563 Little River Loop Apt 148, Altamonte Springs, FL 32714-1746 | 2020-11-06 |
| 1851992044 | Robin Kelly Tessman | Homemaker | 230 Cumquat Rd Ne, Lake Placid, FL 33852-5951 | 2020-11-04 |
| 1114526167 | Jennyre Reid | Homemaker | 2471 Nw 175th Ter, Miami Gardens, FL 33056-3611 | 2020-10-21 |
| 1750989315 | Yonile Derivois | Homemaker | 1849 Buchanan Bay Cir Apt 103, Orlando, FL 32839-1894 | 2020-10-15 |
| 1992303606 | Tori Vontrese Reddick | Homemaker | 4720 Magnolia Preserve Ave, Winter Haven, FL 33880-5027 | 2020-10-14 |
| 1346848124 | Seana Williams Shaw | Homemaker | 43 Petey Ct, Ocoee, FL 34761-4429 | 2020-10-13 |
| 1821696865 | Rhonda Denise Cunningham | Homemaker | 510 E Yonge St, Pensacola, FL 32503-3874 | 2020-10-13 |
| 1689271249 | Chiqueata Lashay Evans | Homemaker | 304 E 10th Ave, Havana, FL 32333-1918 | 2020-10-07 |
| 1639776768 | Anyah Poole | Homemaker | 3657 Tyson Green Way, Tallahassee, FL 32310-4963 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | CORAL SPRINGS |
| Zip Code | 33076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.