Organization Active NPI

Peaceful Restoration Home Care LLC

  • Home Health Agency
  • Sugar Land, TX
National Provider Identifier
1417753187
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACEFUL RESTORATION HOME CARE LLC
Practice address
5611 Bending Crest CT
Sugar Land, TX 77479-6859
Phone
(469) 648-9738
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Abolade Oshidele
Title
Managing Director
Phone
(469) 648-9738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5611 Bending Crest CT
Sugar Land, TX 77479-6859

Mailing address

PO Box 16364
Sugar Land, TX 77496-6364

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1417753187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16364",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 BENDING CREST CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796859",
            "telephone_number": "469-648-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL RESTORATION HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "OSHIDELE",
        "authorized_official_first_name": "ABOLADE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "469-648-9738"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.