A Peaceful Life Home Care & Companion

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A PEACEFUL LIFE HOME CARE & COMPANION

Practice address

2664 N McMullen Booth Rd Apt 614
Clearwater, FL 33761-4065

Phone

(813) 580-6363

NPI assigned

Dec 1, 2021

Last updated

Jan 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikenya Latanza Green

Title

Sole Owner

Phone

(813) 580-6363

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1427716976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 N MCMULLEN BOOTH RD APT 614",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614065",
            "telephone_number": "813-580-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 N MCMULLEN BOOTH RD APT 614",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614065",
            "telephone_number": "813-580-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PEACEFUL LIFE HOME CARE & COMPANION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MIKENYA",
        "authorized_official_middle_name": "LATANZA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "813-580-6363"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.