A Peaceful Home Healthcare CDS LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A PEACEFUL HOME HEALTHCARE CDS LLC

Practice address

3920 Lindell Blvd Ste 208
Saint Louis, MO 63108-3254

Phone

(314) 329-7744

Fax

(314) 601-3437

NPI assigned

Aug 16, 2018

Last updated

Sep 22, 2023By 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

Miss Kisha C Jackson

Title

Executive Director

Phone

(314) 329-7744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1649750845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300502",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631300653",
            "telephone_number": "314-599-3652",
            "fax_number": "314-601-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 LINDELL BLVD STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083254",
            "telephone_number": "314-329-7744",
            "fax_number": "314-601-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Mullanphy St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631063114",
            "country_code": "US",
            "telephone_number": "314-329-7744",
            "fax_number": "314-601-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A PEACEFUL HOME HEALTHCARE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KISHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-329-7744",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.