Provider Demographics
NPI:1427858885
Name:PENIEL HOME HEALTH SERVICES
Entity type:Organization
Organization Name:PENIEL HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/NURSE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIM KORANTENG
Authorized Official - Suffix:
Authorized Official - Credentials:RN/NP
Authorized Official - Phone:914-619-4533
Mailing Address - Street 1:8811 FM 1464 RD APT 2207
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3746
Mailing Address - Country:US
Mailing Address - Phone:914-619-4533
Mailing Address - Fax:
Practice Address - Street 1:8811 FM 1464 RD APT 2207
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3746
Practice Address - Country:US
Practice Address - Phone:914-619-4533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health