Peaceful-Selam Adult Family Home LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PEACEFUL-SELAM ADULT FAMILY HOME LLC

Practice address

6225 Sandstone Dr
Madison, WI 53719-4857

Phone

(608) 575-2361

NPI assigned

Mar 6, 2026

Organization subpart

No

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

Authorized official

Name

Meskerem Thomas

Title

Owner

Phone

(608) 575-2361

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1396691895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 SANDSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194857",
            "telephone_number": "608-575-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 SANDSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194857",
            "telephone_number": "608-575-2361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4113 Ambleside Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537196218",
            "country_code": "US",
            "telephone_number": "608-575-2361 x52361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEFUL-SELAM ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MESKEREM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-575-2361"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Pazak, MS/CCC SLP
• Michael Lee Pazzol, DO
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• Peaceful Living Assistant Inc
• Peaceful Lotus Therapy, LLC
• Peaceride Transport LLC
• Jeremy L. Peacock, M.D.
• Peak Endurance
• Peak Endurance Physical Therapy, SC
• Charles Graham Pearce, MD

• PACE Provider Organization in Madison, WI
• Providers in Madison, WI by specialty
• PACE Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.