Organization Active NPI

Peaceful Home Care, LLC

  • In Home Supportive Care Agency
  • Harrisburg, PA
National Provider Identifier
1114659604
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEACEFUL HOME CARE, LLC
Practice address
845 Sir Thomas CT Ste A2
Harrisburg, PA 17109-4840
Phone
(717) 810-1977
Fax
(717) 810-1977
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Barbara BoatengNPI 1033695168
Title
Chief Operating Officer
Phone
(717) 810-1977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

845 Sir Thomas CT Ste A2
Harrisburg, PA 17109-4840

Mailing address

845 Sir Thomas CT Ste A2
Harrisburg, PA 17109-4840
Phone (717) 810-1977

Other names 1

  • PEACEFUL HOME CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1114659604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT STE A2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094840",
            "telephone_number": "717-810-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SIR THOMAS CT STE A2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094840",
            "telephone_number": "717-810-1977",
            "fax_number": "717-810-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "717-810-1977"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACEFUL HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.