PENIEL CARE HOME – NPI #1790616159
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

PENIEL CARE HOME is a community based residential treatment facility located in SALEM, OR. NPPES recently assigned the NPI number 1790616159 to PENIEL CARE HOME on May 26, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENIEL CARE HOME below.

NPI Profile for
PENIEL CARE HOME

NPI Number
1790616159
Enumeration Date

(about a week ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENIEL CARE HOME
Primary location
5120 CECILIA ST SE
SALEM, OR 97306-1725
Phone: (978) 930-8119 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMELDA NANCE
OWNER
Phone: (978) 930-8119
Updated
Certification Date
May 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.