Life's a Peach Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE'S A PEACH HOME CARE

Doing business as

Amada Senior Care Grayslake

Practice address

1800 Nations Dr Ste 117
Gurnee, IL 60031-9171

Phone

(847) 610-9300

Fax

(847) 610-9199

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. David Johnson

Title

Owner, Senior Care Advisor

Phone

(847) 812-5215

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care Grayslake Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1396334405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13108 W WAKEFIELD DR",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600833014",
            "telephone_number": "847-812-5215",
            "fax_number": "847-610-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR STE 117",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319171",
            "telephone_number": "847-610-9300",
            "fax_number": "847-610-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S A PEACH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, SENIOR CARE ADVISOR",
        "authorized_official_telephone_number": "847-812-5215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dave.j@amadaseniorcare.com",
            "affiliation": "N",
            "endpointDescription": "corporate email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 Nations Dr Ste 117",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600319171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Grayslake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.