Organization Active NPI

Peaceful Harmony Homes, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Jonesboro, GA
National Provider Identifier
1912205584
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PEACEFUL HARMONY HOMES, LLC
Practice address
10649 Tara Village Way
Jonesboro, GA 30238-7963
Phone
(404) 245-6292
Fax
(404) 921-3747
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Mr. Jesse Martin Jr.
Title
Ceo
Phone
(404) 245-6292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Substance Abuse Rehabilitation Facility 324500000X 031-01-308-9 GA

Addresses

Primary practice location

10649 Tara Village Way
Jonesboro, GA 30238-7963

Mailing address

10649 Tara Village Way
Jonesboro, GA 30238-7963
Phone (404) 245-6292

National Provider Directory

National Provider Directory
Tax ID family
Peaceful Harmony Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1912205584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10649 TARA VILLAGE WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387963",
            "telephone_number": "404-245-6292",
            "fax_number": "404-921-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10649 TARA VILLAGE WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387963",
            "telephone_number": "404-245-6292",
            "fax_number": "404-921-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HARMONY HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-245-6292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "031-01-308-9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.