Peace of Heart Community

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PEACE OF HEART COMMUNITY

Practice address

14 S Roscoe Blvd
Ponte Vedra Beach, FL 32082-3812

Phone

(904) 294-0209

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Groshell

Title

Director

Phone

(904) 294-0209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1811345358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 PONTE VEDRA BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505832",
            "telephone_number": "904-294-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S ROSCOE BLVD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823812",
            "telephone_number": "904-294-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF HEART COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "GROSHELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-294-0209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Nusca Parrish
• Manish R Patel, MP
• Shreena B. Patel, D.M.D.
• Paths 2 Peace LLC
• James Randall Patrinely Jr., MD
• Paula Peacock, ARNP
• Pediatric Associates of Jacksonville, PA
• Penney Weeks DMD PA
• Pep Network LLC
• Joshua Edward Perry, D.M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.