Active NPI
Peaceful Haven Assisted Living, LLC
- Assisted Living Facility
- Flossmoor, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PEACEFUL HAVEN ASSISTED LIVING, LLC
- Practice address
- 19624 Governors Hwy Ste 205
Flossmoor, IL 60422-2077 - Phone
- (708) 850-7853
- NPI assigned
- Aug 6, 2024
- Last updated
- Aug 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ashley Sahakian
- Title
- Owner
- Phone
- (708) 850-7853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
19624 Governors Hwy Ste 205
Flossmoor, IL 60422-2077
Mailing address
19624 Governors Hwy Ste 205
Flossmoor, IL 60422-2077
Phone (708) 850-7853
National Provider Directory
National Provider DirectoryLocations
19624 Governors Hwy
Ste 205
Flossmoor, IL 60422
Phone (708) 850-7853
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Dyer, IN
- NPI 1760296123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1326878091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY STE 205",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "708-850-7853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY STE 205",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "708-850-7853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL HAVEN ASSISTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "SAHAKIAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-850-7853",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.