HEREWARD PENNYCOOKE
NPI 1053072421
Technician - Attendant Care Provider in Lauderdale Lakes, FL

Q: What is Hereward Pennycooke's NPI number?

The NPI number for Hereward Pennycooke is 1053072421. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Q: What is Hereward Pennycooke's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Active since January 06, 2022

3489 NW 24TH ST, LAUDERDALE LAKES, FL 33311(954) 822-3092 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hereward Pennycooke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEREWARD PENNYCOOKE (NPI 1053072421) is an individual attendant care provider provider in Lauderdale Lakes, Florida, licensed in Florida (11754900) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1053072421

Entity TypeIndividualMale

Primary Taxonomy3747A0650X

Provider Legal NameHEREWARD PENNYCOOKE

Location Address3489 NW 24TH STLauderdale Lakes, FL 33311-2610

Mailing Address3489 Nw 24th StLauderdale Lakes, FL 33311-2610 · (954) 822-3092

Phone(954) 822-3092

Sole ProprietorYes

Enumeration DateJanuary 6, 2022

NPPES CertifiedJanuary 6, 2022

✔ NPI 1053072421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

License✔ Licensed in FL · 11754900

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

3489 NW 24TH ST, Lauderdale Lakes, FL 33311

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Other Identifiers 1

Medicaid3747A0650XFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hereward Pennycooke's NPI number?

The NPI number for Hereward Pennycooke is 1053072421. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Hereward Pennycooke located?

Hereward Pennycooke practices at 3489 NW 24th St, Lauderdale Lakes, FL 33311. The listed phone number is (954) 822-3092.

What is Hereward Pennycooke's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Hereward Pennycooke was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.