Peaceful Care Limited Liability Company

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEACEFUL CARE LIMITED LIABILITY COMPANY

Practice address

2415 Annapolis LN N Ste 130
Plymouth, MN 55441-3632

Phone

(612) 701-6094

Fax

(763) 205-6574

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By 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

Roger Crews

Title

Chief Operations Officer

Phone

(612) 701-6094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1700418977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 AUBURNDALE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440232344",
            "telephone_number": "952-201-3381",
            "fax_number": "612-234-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 ANNAPOLIS LN N STE 130",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413632",
            "telephone_number": "612-701-6094",
            "fax_number": "763-205-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL CARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "612-701-6094"
    },
    "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 Plymouth, MN
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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.