Peaceful Home and Community Care LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEACEFUL HOME AND COMMUNITY CARE LLC

Doing business as

PHCC

Practice address

8298 University Ave NE
Fridley, MN 55432-2896

Phone

(763) 742-0952

Fax

(763) 432-3857

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By 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

Maftuha Abdulla HassanNPI 1841736493

Title

Owner/Ceo

Phone

(763) 742-0952

Specialties & licenses 1

Addresses

Other names 1

• PHCC Doing business as

Locations

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.

• Maftuha Abdulla Hassan

  • Rehabilitation Psychologist
  • Fridley, MN
  • NPI 1841736493
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1639990856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8298 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322896",
            "telephone_number": "763-742-0952",
            "fax_number": "763-432-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8298 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322896",
            "telephone_number": "763-742-0952",
            "fax_number": "763-432-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HOME AND COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MAFTUHA",
        "authorized_official_middle_name": "ABDULLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "763-742-0952"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Patek
• Akanksha Patel, DO
• Andrea Patten
• Donald A Pavelka, M.D.
• Peaceful Adult Day Center LLC.
• Peixin Liu DDS (Family Dentistry)
• Candace K Pella, PT
• Deanna Pelley, MA LPCC
• Heather Ann Penning, CNP
• Anne Perkins

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fridley, MN
• Providers in Fridley, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.