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PENISTON PERSONAL CARE HOME,LLC
NPI 1265962732
Assisted Living Facility in Fairburn, GA

Active since June 15, 2017
4680 SUNDRIDGE TRL, FAIRBURN, GA 30213(678) 545-3934(770) 892-1051 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jun 15, 2017 (2 updates tracked since 2017).

About Peniston Personal Care Home,llc NPPES

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

PENISTON PERSONAL CARE HOME,LLC (NPI 1265962732) is a healthcare organization registered as an assisted living facility in Fairburn, Georgia and active in the NPI registry since June 2017. The organization lists Breezy Houston, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265962732
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePENISTON PERSONAL CARE HOME,LLC
Location Address4680 SUNDRIDGE TRLFairburn, GA 30213-1997
Mailing Address4680 Sundridge TrlFairburn, GA 30213-1997
Phone(678) 545-3934
Fax(770) 892-1051
Organization SubpartNo
Authorized OfficialBreezy HoustonCeo · (678) 516-6555
Enumeration DateJune 15, 2017
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1265962732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4680 SUNDRIDGE TRL, Fairburn, GA 30213
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENISTON PERSONAL CARE HOME,LLC
Home Health
4680 SUNDRIDGE TRL
FAIRBURN, GA 30213
Fulton County (678) 545-3934
BREEZY HOUSTON
Community/Behavioral Health
4680 SUNDRIDGE TRL
FAIRBURN, GA 30213
Fulton County (678) 545-3934

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 Peniston Personal Care Home,llc's NPI number?

The NPI number for Peniston Personal Care Home,llc is 1265962732. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Peniston Personal Care Home,llc located?

Peniston Personal Care Home,llc is located at 4680 Sundridge Trl, Fairburn, GA 30213. The listed phone number is (678) 545-3934.

What is Peniston Personal Care Home,llc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Peniston Personal Care Home,llc was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.