Peace Homecare Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEACE HOMECARE SERVICES LLC

Practice address

5127 53Rd Ave N
Crystal, MN 55429-3227

Phone

(908) 414-1849

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Peace Kibaara

Title

Owner/ Administrator

Phone

(908) 414-1849

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1740826452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 53RD AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293227",
            "telephone_number": "908-414-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 53RD AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293227",
            "telephone_number": "908-414-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "KIBAARA",
        "authorized_official_first_name": "PEACE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "908-414-1849"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkview Manor Inc
• Kurt Steven Partoll, MD
• Passionate Hands Healthcare
• Taharra Patterson, MMP
• Sherry Ann Paulson, MD
• Charet Jean Pelkey, LPT
• Corinna Peterson
• Jan Marie Peterson, PHARMD
• Kimberly Ann Plessel, MS, RD, LD
• Andrew Karn Pogreba

• Assisted Living Facility in Crystal, MN
• Providers in Crystal, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.