PENIEL HOUSE, LLC
NPI 1700322765
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clayton, NC

Q: What is Peniel House, LLC's NPI number?

The NPI number for Peniel House, LLC is 1700322765. It was assigned to this organization in the NPPES registry on January 16, 2017.

Q: What is Peniel House, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Peniel House, LLC was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 16, 2017

724 YORKSHIRE DR, CLAYTON, NC 27520(919) 436-8298 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peniel House, Llc NPPES

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

PENIEL HOUSE, LLC (NPI 1700322765) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Clayton, North Carolina and active in the NPI registry since January 2017. The organization lists Latashia Edwards, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700322765

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePENIEL HOUSE, LLC

Location Address724 YORKSHIRE DRClayton, NC 27520-2973

Mailing Address201 Steel Hopper WayGarner, NC 27529-7358 · (919) 436-8298

Phone(919) 436-8298

Organization SubpartNo

Authorized OfficialLatashia EdwardsExecutive Director · (919) 436-8298

Enumeration DateJanuary 16, 2017

✔ NPI 1700322765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

724 YORKSHIRE DR, Clayton, NC 27520

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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 Peniel House, LLC's NPI number?

The NPI number for Peniel House, LLC is 1700322765. It was assigned to this organization in the NPPES registry on January 16, 2017.

Where is Peniel House, LLC located?

Peniel House, LLC is located at 724 Yorkshire Dr, Clayton, NC 27520. The listed phone number is (919) 436-8298.

What is Peniel House, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Peniel House, LLC was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.