Organization Active NPI

Peaceful Life Assisted Living

  • Assisted Living Facility
  • Clinton, MD
National Provider Identifier
1457790420
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PEACEFUL LIFE ASSISTED LIVING
Practice address
7029 Groveton Dr
Clinton, MD 20735-4046
Phone
(301) 868-6198
Fax
(301) 868-7956
NPI assigned
Jun 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Authorized official

Name
Charity Barrett
Title
Alm
Phone
(240) 493-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7029 Groveton Dr
Clinton, MD 20735-4046

Mailing address

7708 Old Alexandria Ferry Rd
Clinton, MD 20735-1872
Phone (301) 856-8015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1457790420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 OLD ALEXANDRIA FERRY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351872",
            "telephone_number": "301-856-8015",
            "fax_number": "888-557-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7029 GROVETON DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354046",
            "telephone_number": "301-868-6198",
            "fax_number": "301-868-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL LIFE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "ALM",
        "authorized_official_telephone_number": "240-493-6441"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.