Peaceful Hearts Enterprise Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEACEFUL HEARTS ENTERPRISE INC

Practice address

5238 L J Martin Dr
Gainesville, GA 30507-8706

Phone

(770) 330-5729

Fax

(678) 828-7219

NPI assigned

Nov 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dena M Brown

Title

Administrator

Phone

(770) 330-5729

Specialties & licenses 1

Addresses

Other names 2

• Peaceful Hearts PCH Doing business as
• Peaceful Hearts Personal Care Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1023726437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 L J MARTIN DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078706",
            "telephone_number": "177-033-0572",
            "fax_number": "678-828-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 L J MARTIN DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078706",
            "telephone_number": "770-330-5729",
            "fax_number": "678-828-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEARTS ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-330-5729",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Hearts PCH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peaceful Hearts Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Jeffrey Payne, M.D.
• Robert Dale Payne, MSPT
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• PCP Dental LLC
• PCR-DX, LLC
• Peachstate Health Management LLC
• Peachtree Childrens Dentistry Gainesville LLC
• Karen A Peacock, CRNA
• Anela D Pearson, AGACNP-BC
• Lindsay Danielle Pearson, PA-C

• Assisted Living Facility in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.