Organization Active NPI

Peaceful Hillside Afh LLC

  • Registered Nurse
  • Vancouver, WA
National Provider Identifier
1427933407
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
PEACEFUL HILLSIDE AFH LLC
Practice address
22304 NE Hillside Dr
Vancouver, WA 98682-9751
Phone
(360) 921-7983
Fax
(360) 326-1939
NPI assigned
Aug 8, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Lyubov Kovalchuk
Title
Owner / Licensee
Phone
(360) 921-7983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

22304 NE Hillside Dr
Vancouver, WA 98682-9751

Mailing address

22304 NE Hillside Dr
Vancouver, WA 98682-9751
Phone (360) 921-7983

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2319025Peaceful Hillside Afh22304 NE Hillside Dr, Vancouver, WA 98682Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1427933407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22304 NE HILLSIDE DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986829751",
            "telephone_number": "360-921-7983",
            "fax_number": "360-326-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22304 NE HILLSIDE DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986829751",
            "telephone_number": "360-921-7983",
            "fax_number": "360-326-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HILLSIDE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "KOVALCHUK",
        "authorized_official_first_name": "LYUBOV",
        "authorized_official_title_or_position": "OWNER / LICENSEE",
        "authorized_official_telephone_number": "360-921-7983"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.