Palace of Peace Inc

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

PALACE OF PEACE INC

Practice address

5436 101St St Apt 3
Jacksonville, FL 32210-8910

Phone

(904) 559-5327

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Tanisha Moore

Title

President/Administrator

Phone

(904) 559-5327

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1578201059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28582",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322268582",
            "telephone_number": "904-559-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 101ST ST APT 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108910",
            "telephone_number": "904-559-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE OF PEACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-559-5327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tmoore@popministries.org",
            "affiliation": "N",
            "endpointDescription": "Company Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5436 101st St Apt 3",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322108910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raymond Pak, MD
• Sang-Woo Pak, M.D.
• Song Hyon Pak, M.D.
• Andrew John Pakchoian, D.D.S.
• Ryan Alexander Pal, APRN
• Carlos Palacio, M.D.
• Mary L Palacio
• Samantha Paladino
• Stephanie Palazzolo, PA-C
• Jeremy R Palenik, PHARM.D.

• Homemaker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.