Healthcare Provider Details

I. General information

NPI: 1942126776
Provider Name (Legal Business Name): PENUEL HOMECARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 PEACH COBBLER ST
MONROE NC
28110-7159
US

IV. Provider business mailing address

3421 PEACH COBBLER ST
MONROE NC
28110-7159
US

V. Phone/Fax

Practice location:
  • Phone: 714-642-0852
  • Fax:
Mailing address:
  • Phone: 714-642-0852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOEL AWUKU OWUSU
Title or Position: CHIEF EXECUTIVE OFFICER (CEO)
Credential:
Phone: 714-642-0852