Peaceful Health and Residential Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACEFUL HEALTH AND RESIDENTIAL SERVICE

Practice address

5088 Two Chimneys CT
Woodbridge, VA 22193-3264

Phone

(703) 785-8567

Fax

(703) 897-7507

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Prince Gyenin

Title

Administrator

Phone

(703) 785-8567

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1235794850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5088 TWO CHIMNEYS CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933264",
            "telephone_number": "703-785-8567",
            "fax_number": "703-897-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5088 TWO CHIMNEYS CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933264",
            "telephone_number": "703-785-8567",
            "fax_number": "703-897-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEALTH AND RESIDENTIAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "GYENIN",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-785-8567"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5088",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul I Miller MD PC
• Lewis Hutchison Pauley, D.C.
• Lisa A Pauls, M.D.
• Haley Marie Payne, COTA/L
• Kaley Payne
• Peaceful Living Home
• Joanna Lynn Pearson, AUD
• Pediatric Achievements, LLC
• Amy Peery, FNP-C
• April Peirce

• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.