NPIMap

Organization Active NPI

Peaseo Life Quest Solutions

  • Homemaker
  • Havana, FL
National Provider Identifier
1194477679
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
PEASEO LIFE QUEST SOLUTIONS
Practice address
307 E 10TH Ave
Havana, FL 32333-1917
Phone
(850) 570-0499
Fax
(850) 331-6655
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Stephanie Ann Williams
Title
Director
Phone
(850) 570-0499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

307 E 10TH Ave
Havana, FL 32333-1917

Mailing address

PO Box 1136
Havana, FL 32333-1136
Phone (850) 570-0499

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1194477679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331136",
            "telephone_number": "850-570-0499",
            "fax_number": "850-331-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 10TH AVE",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331917",
            "telephone_number": "850-570-0499",
            "fax_number": "850-331-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEASEO LIFE QUEST SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-570-0499"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.