Peachcourt Home Care SVC Inc

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

PEACHCOURT HOME CARE SVC INC

Practice address

937 E 223Rd St
Bronx, NY 10466-4601

Phone

(646) 353-0465

Fax

(718) 347-4643

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Lillian Campbell, LPNNPI 1073854055

Title

President

Phone

(646) 353-0465

Specialties & licenses 1

Addresses

Tax ID family

Peachcourt Home Care SVC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peachcourt Home Care SVCS Inc

  • Exclusive Provider Organization
  • Bronx, NY
  • NPI 1205296928
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lillian Elaine Campbell

  • Licensed Practical Nurse
  • Bronx, NY
  • NPI 1073854055
  NPD (past) Authorized official

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1316737257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E 223RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664601",
            "telephone_number": "646-353-0465",
            "fax_number": "718-347-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E 223RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664601",
            "telephone_number": "646-353-0465",
            "fax_number": "718-347-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHCOURT HOME CARE SVC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-353-0465",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniil Payziyev
• Hosman G Paz Jimenez, MD
• PD Pharmacy LLC
• Emma Peabody, PSYD
• Peace Pharmacy, Inc.
• Peachcourt Home Care SVCS Inc
• Matthew Peachey, MD
• Tawanna Peacock, LMSW
• Rachelle Pean, LMSW
• Pearl Rosenbaum, MD

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.