Prince of Peace Home Healthcare LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

34308 Issued in AZ

Legal business name

PRINCE OF PEACE HOME HEALTHCARE LLC.

Practice address

10640 N 28TH Dr Ste A101
Phoenix, AZ 85029-2908

Phone

(602) 441-3501

Fax

(602) 865-1970

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Imelda G Prakelt, LPN

Title

President

Phone

(520) 868-0250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1649523556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR STE A101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292908",
            "telephone_number": "602-441-3501",
            "fax_number": "602-865-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR STE A101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292908",
            "telephone_number": "602-441-3501",
            "fax_number": "602-865-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE OF PEACE HOME HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PRAKELT",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-868-0250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "34308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Wellness Center LLC
• Primemed Transport
• Primera Enterprise LLC
• Prince Med Trans LLC
• Prince of Peace Home Health, LLC
• David Prince, PSY.D.
• Sabrina P Prince
• Susan Christine Prince, RN
• Steffany Princko
• Conor Prindiville, CNIM

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.