Peaceful Angels Homecare LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACEFUL ANGELS HOMECARE LLC.

Practice address

175 Addison Rd Ste 101
Windsor, CT 06095-2179

Phone

(860) 640-0076

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Issifu Issaka, MSC. (HON) ECONOMICS

Title

Executive Director

Phone

(203) 507-8576

Specialties & licenses 2

Addresses

Other names 1

• Peaceful Angels Homecare Doing business as

Locations

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1689495244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ADDISON RD STE 101",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952179",
            "telephone_number": "860-640-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ADDISON RD STE 101",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952179",
            "telephone_number": "860-640-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL ANGELS HOMECARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ISSAKA",
        "authorized_official_first_name": "ISSIFU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-507-8576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC. (HON) ECONOMICS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peaceful Angels Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.