Peace Residential Care Home, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PEACE RESIDENTIAL CARE HOME, INC

Practice address

38 S Vesper Bend Cir
Spring, TX 77382-5519

Phone

(347) 841-5030

Fax

(713) 429-0750

NPI assigned

Jun 22, 2021

Last updated

Jul 29, 2021By 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

Ellen Clinton

Title

Consultant

Phone

(817) 903-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1730758970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 S VESPER BEND CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773825519",
            "telephone_number": "347-841-5030",
            "fax_number": "713-429-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S VESPER BEND CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773825519",
            "telephone_number": "347-841-5030",
            "fax_number": "713-429-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RESIDENTIAL CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "817-903-7600"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Spring, TX
• Providers in Spring, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.