Haby Peace at Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HABY PEACE AT HOME LLC

Practice address

3830 S Country Woods Rd
Columbia, MO 65203-9510

Phone

(573) 825-5024

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Hadje Achta Boukari Naya, MASTERS OF EDUCATION

Title

Director

Phone

(573) 825-5024

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733616000000",
    "number": "1396567061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S COUNTRY WOODS RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039510",
            "telephone_number": "573-825-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S COUNTRY WOODS RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039510",
            "telephone_number": "573-825-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABY PEACE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "BOUKARI NAYA",
        "authorized_official_first_name": "HADJE",
        "authorized_official_middle_name": "ACHTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-825-5024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTERS OF EDUCATION"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Haase, PHARMD
• Douglas Reed Haase, M.D.
• Michael Habhab, MD
• Mustafa J Habib, MD
• Ayaaz A Habibullah, MD
• Karen Cavender Hackmann, GCNS
• Payton Scot Hackmann, FNP-C
• Oe Suk Hackney, ACNPC-AG
• Tina Haden
• Stephen Patrick Hadford, MD

• All providers in Columbia, MO
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.