Prince of Peace Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRINCE OF PEACE CORPORATION

Practice address

12658 Dutch CT
Corona, CA 92880-9279

Phone

(678) 622-6131

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Oluwatoyin OladimejiNPI 1396345245

Title

Ceo/Administrator

Phone

(678) 622-6131

Specialties & licenses 2

Addresses

Other names 1

• Prince of Peace Corporation Transportation Services Other name

Practitioners 1

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

• Oluwatoyin Oladimeji, DNP/PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
  • NPI 1396345245
  NPD Authorized official

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1881440865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12658 DUTCH CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809279",
            "telephone_number": "678-622-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12658 DUTCH CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928809279",
            "telephone_number": "678-622-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE OF PEACE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "OLADIMEJI",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-622-6131"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince of Peace Corporation Transportation Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Prince of Peace Corporation Transportation Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ashley Prophet
• Prospect Supportive Care Inc

• In Home Supportive Care Agency in Corona, CA
• Providers in Corona, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.