Peacehaven Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4519 Issued in NC

Legal business name

PEACEHAVEN HOMECARE, LLC

Practice address

169 Yadkin Valley Rd
Suite 100
Advance, NC 27006-8786

Phone

(336) 998-6300

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn F. Dobbins

Title

Owner

Phone

(336) 244-9565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1376818179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 YADKIN VALLEY RD",
            "address_2": "SUITE 100",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270068786",
            "telephone_number": "336-998-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 YADKIN VALLEY RD",
            "address_2": "SUITE 100",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270068786",
            "telephone_number": "336-998-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHAVEN HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-244-9565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Advance, NC
• Providers in Advance, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.