Peace Healthcare Systems

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEACE HEALTHCARE SYSTEMS

Doing business as

Peace Healthcare Systems

Practice address

8255 Grange Blvd
Cottage Grove, MN 55016-4823

Phone

(651) 214-0975

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Fatai A Popoola, LICSW

Title

Lald

Phone

(651) 214-0975

Specialties & licenses 1

Addresses

Other names 1

• PEACE HEALTHCARE SYSTEMS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1326863002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 GRANGE BLVD",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164823",
            "telephone_number": "651-214-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 GRANGE BLVD",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164823",
            "telephone_number": "651-214-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "POPOOLA",
        "authorized_official_first_name": "FATAI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LALD",
        "authorized_official_telephone_number": "651-214-0975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACE HEALTHCARE SYSTEMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark William Parker, D.C.
• Angela K. Parsons, M.D.
• Caitlyn Parsons
• Pathway Home Healthcare LLC
• PDG, PA
• Thomas A Peichel, MA LICSW
• Alison Mary Peterson, MD
• Ekaterina Peterson, PA-C
• PHS/ Cottage Grove
• Danielle Pohl, MD

• Assisted Living Facility in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.