Organization Active NPI

Peaceful Residential Services,LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbus, OH
National Provider Identifier
1811261571
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
2558601 Issued in OH
Legal business name
PEACEFUL RESIDENTIAL SERVICES,LLC
Practice address
2151 E Dublin Granville Rd
Columbus, OH 43229-3519
Phone
(614) 423-8326
Fax
(614) 423-8326
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Mr. Leroy Cooper
Title
Ceo
Phone
(614) 423-8326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2558601 OH Primary

Addresses

Primary practice location

2151 E Dublin Granville Rd
Columbus, OH 43229-3519

Mailing address

2151 E Dublin Granville Rd
Columbus, OH 43229-3519
Phone (614) 423-8326

National Provider Directory

National Provider Directory

Locations

2151 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 423-8326

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1811261571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293519",
            "telephone_number": "614-423-8326",
            "fax_number": "614-423-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293519",
            "telephone_number": "614-423-8326",
            "fax_number": "614-423-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL RESIDENTIAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LEROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-423-8326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "2558601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.