Organization Active NPI

Peaceland Healthcare

  • Home Health Agency
  • Hagerstown, MD
National Provider Identifier
1336700640
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACELAND HEALTHCARE
Practice address
11025 Baldwin Dr
Hagerstown, MD 21742-9761
Phone
(240) 586-4672
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Adenike Veronic Nakhleh
Title
Administrator
Phone
(240) 586-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11025 Baldwin Dr
Hagerstown, MD 21742-9761

Mailing address

11025 Baldwin Dr
Hagerstown, MD 21742-9761
Phone (240) 586-4672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1336700640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 BALDWIN DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217429761",
            "telephone_number": "240-586-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 BALDWIN DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217429761",
            "telephone_number": "240-586-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACELAND HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "NAKHLEH",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "VERONIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-586-4672"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.