Provider Demographics
NPI:1104626787
Name:PP&P HEALTH SERVICES
Entity type:Organization
Organization Name:PP&P HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETRINO
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-832-8065
Mailing Address - Street 1:211 PAYTON PL
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3185
Mailing Address - Country:US
Mailing Address - Phone:678-835-8065
Mailing Address - Fax:
Practice Address - Street 1:211 PAYTON PL
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3185
Practice Address - Country:US
Practice Address - Phone:678-835-8065
Practice Address - Fax:877-599-6195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HYDR8ME IV LOUNGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-14
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)