Peaceful Living Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PEACEFUL LIVING HOME

Practice address

6221 Oscar CT
Woodbridge, VA 22193-7024

Phone

(703) 223-3911

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Mabinti KamaraNPI 1134685654

Title

Director

Phone

(703) 223-3911

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mabinti Kamara, FNP-C

  • Family Nurse Practitioner
  • Woodbridge, VA
  • NPI 1134685654
  NPD Authorized official

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1871058404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 OSCAR CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 OSCAR CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937024",
            "telephone_number": "703-223-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "MABINTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-223-3911"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Hutchison Pauley, D.C.
• Lisa A Pauls, M.D.
• Haley Marie Payne, COTA/L
• Kaley Payne
• Peaceful Health and Residential Service
• Joanna Lynn Pearson, AUD
• Pediatric Achievements, LLC
• Amy Peery, FNP-C
• April Peirce
• Barbara K Pellegrino, P.T.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.