NPIMap

Organization Active NPI

Peaceful House

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1700039013
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
MHL032457 Issued in NC
Legal business name
PEACEFUL HOUSE
Practice address
3116 Cedarwood Dr
Durham, NC 27707-4766
Phone
(919) 688-8374
Fax
(919) 790-1963
NPI assigned
Oct 30, 2008
Last updated
Oct 30, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COMFORT HEALTHCARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Ogbonnaya Ude Anyanson
Title
Administrator
Phone
(919) 291-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X MHL032457 NC Primary

Addresses

Primary practice location

3116 Cedarwood Dr
Durham, NC 27707-4766

Mailing address

PO Box 58218
Raleigh, NC 27658-8218
Phone (919) 688-8374

Other identifiers 1

IdentifierTypeStateIssuer
7805133MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Peaceful House8 organizations share this tax ID, including this one
Part of
Peaceful House

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1700039013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58218",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276588218",
            "telephone_number": "919-688-8374",
            "fax_number": "919-790-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 CEDARWOOD DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074766",
            "telephone_number": "919-688-8374",
            "fax_number": "919-790-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORT HEALTHCARE SERVICES, INC.",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ANYANSON",
        "authorized_official_first_name": "OGBONNAYA",
        "authorized_official_middle_name": "UDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-291-6596"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "MHL032457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.