Provider Demographics
NPI:1356230353
Name:PENUEL LLC
Entity type:Organization
Organization Name:PENUEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAFEMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:OJEKUNLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-985-5667
Mailing Address - Street 1:183 BEECHMONT DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2541
Mailing Address - Country:US
Mailing Address - Phone:443-985-5667
Mailing Address - Fax:
Practice Address - Street 1:183 BEECHMONT DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2541
Practice Address - Country:US
Practice Address - Phone:443-857-1875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care