Peace Universal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEACE UNIVERSAL CARE LLC

Practice address

15680 Crescentwood Ave
Eastpointe, MI 48021-2396

Phone

(313) 974-5579

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Champange Kizzaurea Stevens

Title

Owner

Phone

(313) 974-5579

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1720529191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22430 GRATIOT AVE UNIT 333",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480217015",
            "telephone_number": "313-974-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 CRESCENTWOOD AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212396",
            "telephone_number": "313-974-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE UNIVERSAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHAMPANGE",
        "authorized_official_middle_name": "KIZZAUREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-974-5579"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.