Peachtree Residential Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEACHTREE RESIDENTIAL SERVICES LLC

Practice address

1020 4TH St SW
Canton, OH 44707-4608

Phone

(330) 571-9940

Fax

(234) 214-0428

NPI assigned

Jul 10, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Robert Smith III, DO

Title

Ceo

Phone

(330) 571-9940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1275451700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 4TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447074608",
            "telephone_number": "330-571-9940",
            "fax_number": "234-214-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 4TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447074608",
            "telephone_number": "330-571-9940",
            "fax_number": "234-214-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-571-9940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fnu Payal, MD
• Teresa Payne
• Shamika M Payton
• Laurie Lynne Peach, RN, MSN, ACNS-BC
• Thomas F Peachman
• Peak Health Inc
• Jennifer Pearce, M.A.
• Tabitha Joy Pearson
• Rachel Pecora, LMT
• Pediatric Center of Canton, LLC

• In Home Supportive Care Agency in Canton, OH
• Providers in Canton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.