Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peniston Personal Care Home, LLC

Organization Home Health Registered Nurse · NPI 1003465626

Peniston Personal Care Home, LLC is a Home Health Registered Nurse in Fairburn, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4680 Sundridge Trl
Fairburn, GA 30213-1997
Phone: (678) 545-3934
Fax: (770) 892-1051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Home Health Registered Nurse Taxonomy 163WH0200X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1003465626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Breezy Houston — Owner · (678) 545-3934
Other names Peniston Personal Care Home, Llc
NPI enumeratedSeptember 6, 2019
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address4680 Sundridge Trl, Fairburn, GA 30213-1997

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