Peace-on-Earth Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PEACE-ON-EARTH LIVING

Practice address

16654 Foliage Ave W
Rosemount, MN 55068-1840

Phone

(952) 451-2356

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Moira S Duverneau-SalifuNPI 1013284967

Title

Authorized Agent

Phone

(952) 451-2356

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moira S Duverneau-Salifu, NP-C

  • Student in an Organized Health Care Education/Training Program
  • Joplin, MO
  • NPI 1013284967
  NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1801473004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16654 FOLIAGE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681840",
            "telephone_number": "952-451-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16654 FOLIAGE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550681840",
            "telephone_number": "952-451-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE-ON-EARTH LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "DUVERNEAU-SALIFU",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "952-451-2356"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peacfulivinghealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure messaging system",
            "address_1": "16654 Foliage Ave W",
            "city": "Rosemount",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550681840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Palmer, LICSW
• Afiya S Patel
• Pathway Housing Services
• Chelsea Lee Payne, OTR/L
• PDG, P.a. (PARK DENTAL Rosemount)
• Amanda Lynn Peterson, PHD LP
• Brady Peterson, PHARM.D.
• Kallie Petricka, OTR/L
• Stacy M Pfarr, OTR/L
• Desiree Yvette Phillips, LPCC

• Adult Care Home Facility in Rosemount, MN
• Providers in Rosemount, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.