Peaceful Hills Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PEACEFUL HILLS INC

Practice address

16351 Elizabeth Lake Rd
Lake Hughes, CA 93532-1226

Phone

(323) 919-9999

NPI assigned

Aug 23, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gor Habeshian

Title

Ceo

Phone

(323) 949-2030

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1265265326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16351 ELIZABETH LAKE RD",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935321226",
            "telephone_number": "323-919-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16351 ELIZABETH LAKE RD",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935321226",
            "telephone_number": "323-919-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HILLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "HABESHIAN",
        "authorized_official_first_name": "GOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-949-2030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Melendez, PNP
• Ana Valenzuela Moennich
• Avedis Oksazian
• Samantha M Parker
• Heather Michelle Parnell, RADT-I
• Tiffany Warren
• Judy Waters

• Substance Abuse Rehabilitation Facility in Lake Hughes, CA
• Providers in Lake Hughes, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.