Peace of Mine Health & Human Services

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

PEACE OF MINE HEALTH & HUMAN SERVICES

Practice address

23001 Grand River Ave Ste 100
Detroit, MI 48219-3130

Phone

(313) 510-8861

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Alicia Smiley-Fuller

Title

Owner

Phone

(586) 804-8546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1063281152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23001 GRAND RIVER AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23001 GRAND RIVER AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193130",
            "telephone_number": "313-510-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MINE HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SMILEY-FULLER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-804-8546"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PDC Managemen
• James O. Peabody, M.D.
• Peace Be Still PLLC
• Peace in Young Life Center, Inc.
• Peace of Mind Transportation LLC
• Peaceful Hearts Adult Day Care 2
• Peaceful Hearts Adult Day Treatment LLC
• Peaceful Surroundings
• Peacefullhavensllc
• Peaceway Counseling Center

• Case Manager/Care Coordinator in Detroit, MI
• Providers in Detroit, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.