Peaceful Living Home Care, LLC

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

License

HC4854 Issued in NC

Legal business name

PEACEFUL LIVING HOME CARE, LLC

Practice address

610 Upwey CT
Rolesville, NC 27571-9218

Phone

(855) 658-1670

Fax

(855) 658-1674

NPI assigned

Jan 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. James I Miller Jr.

Title

Owner

Phone

(855) 658-1670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1043755978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710616",
            "telephone_number": "855-658-1670",
            "fax_number": "855-658-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPWEY CT",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719218",
            "telephone_number": "855-658-1670",
            "fax_number": "855-658-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL LIVING HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-658-1670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NC",
            "license": "HC4854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.