Angelic Peace Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ANGELIC PEACE HOME

Practice address

2344 N Alsap Rd
Buckeye, AZ 85396-1664

Phone

(623) 633-9079

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Peace C Ezeogba

Title

Director

Phone

(623) 633-9079

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1215440466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 N ALSAP RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961664",
            "telephone_number": "623-633-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 N ALSAP RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961664",
            "telephone_number": "623-633-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC PEACE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "EZEOGBA",
        "authorized_official_first_name": "PEACE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-633-9079"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie May Alvarez, SLPA
• Kimberly Dawn Anderson, SLPA
• Laura L Anderson
• Dennis Andreopoulos, DDS
• Caprice Andrews
• Anna Marie Anger
• Logan John Anglin, DPT
• Antesha Antreas
• Apexnetwork Arizona, LLC
• Aqua Rituals, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.