Peaceful Haven Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACEFUL HAVEN HOME CARE INC

Practice address

8905 De Soto Ave Ste 206
Canoga Park, CA 91304-1911

Phone

(747) 258-8683

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 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

Anna Grigoryan

Title

Ceo

Phone

(747) 258-8683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1609517390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 DE SOTO AVE STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041911",
            "telephone_number": "747-258-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 DE SOTO AVE STE 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913041911",
            "telephone_number": "747-258-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HAVEN HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-258-8683"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.