Organization Active NPI

Peace Home Health Services Inc

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1639405657
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACE HOME HEALTH SERVICES INC
Practice address
23800 W 10 Mile Rd
Suite 110
Southfield, MI 48033-3176
Phone
(248) 208-8901
Fax
(248) 395-0226
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Stephanie D Bolton
Title
Administrator
Phone
(248) 208-8901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

23800 W 10 Mile Rd
Suite 110
Southfield, MI 48033-3176

Mailing address

23800 W 10 Mile Rd
Suite 110
Southfield, MI 48033-3176
Phone (248) 208-8901

Other identifiers 1

IdentifierTypeStateIssuer
1639405657MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1639405657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333176",
            "telephone_number": "248-208-8901",
            "fax_number": "248-395-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 W 10 MILE RD",
            "address_2": "SUITE 110",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333176",
            "telephone_number": "248-208-8901",
            "fax_number": "248-395-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-208-8901"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639405657",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.