Active NPI
Peaceful Hillside Afh LLC
- Registered Nurse
- Vancouver, WA
National Provider Identifier
1427933407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2319025 | Peaceful Hillside Afh | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Registered Nurse
- Vancouver, WA
- NPI 1710862792
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
- Richard Barton Payne, O.D
- Cheryl Ellen Payton, M.S. SLP
- Deborah Jean Peabody
- Peace at Home Nursing Services LLC
- Peace of Mind Counseling, LLC
- Peacehealth (PeaceHealth SW Heart & Vascular Center)
- Peacehealth (PeaceHealth Southwest Medical Center)
- Peacehealth (Peacehealth Southwest Home Health)
- Peacehealth
- Peacehealth (PeaceHealth Southwest Inpatient Rehabilitation)
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.