NPIMap

Organization Active NPI

Peace Alliance Services LLC

  • Assisted Living Facility
  • Indianapolis, IN
National Provider Identifier
1073236022
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PEACE ALLIANCE SERVICES LLC
Practice address
3360 Cold Harbor Dr
Indianapolis, IN 46227-9643
Phone
(317) 238-0595
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Ennie Rukarwa
Title
Member
Phone
(317) 238-0595

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary
Physical Disabilities Residential Treatment Facility 320700000X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

3360 Cold Harbor Dr
Indianapolis, IN 46227-9643

Mailing address

3360 Cold Harbor Dr
Indianapolis, IN 46227-9643
Phone (317) 238-0595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1073236022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 COLD HARBOR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462279643",
            "telephone_number": "317-238-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 COLD HARBOR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462279643",
            "telephone_number": "317-238-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE ALLIANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "RUKARWA",
        "authorized_official_first_name": "ENNIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-238-0595"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.