Organization Active NPI

Z.R. Peaceful Home Care LLC

  • In Home Supportive Care Agency
  • Madison, WI
National Provider Identifier
1104498401
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
Z.R. PEACEFUL HOME CARE LLC
Practice address
1232 Brunette Downs Dr
Madison, WI 53718-9259
Phone
(608) 241-7687
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Souphaita Ouedraogo
Title
Owner/President
Phone
(608) 241-7687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1232 Brunette Downs Dr
Madison, WI 53718-9259

Mailing address

1232 Brunette Downs Dr
Madison, WI 53718-9259
Phone (608) 241-7687

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1104498401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 BRUNETTE DOWNS DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537189259",
            "telephone_number": "608-241-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 BRUNETTE DOWNS DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537189259",
            "telephone_number": "608-241-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z.R. PEACEFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "OUEDRAOGO",
        "authorized_official_first_name": "SOUPHAITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "608-241-7687"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.