Peace Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PEACE HOMES LLC

Practice address

490 E White Wing Dr
Casa Grande, AZ 85122-6292

Phone

(914) 661-0527

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Beth Chege-Goodson

Title

Ceo

Phone

(914) 661-0527

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1942921150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E WHITE WING DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226292",
            "telephone_number": "914-661-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E WHITE WING DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226292",
            "telephone_number": "914-661-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "CHEGE-GOODSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-661-0527"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZDHS",
            "identifier": "BH7833",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ELECTRONIC",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "490 E White Wing Dr",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851226292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Joseph Pattee, D.O.
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• Paul T Wilson OD PC
• Christopher Pavero, PHARMD
• PC Pain Doctors, PLLC
• Ronald David Peacock Jr., PT, DPT
• Kiana Peck, ATC
• Pediatric Dentistry of Casa Grande
• Jessica Pelland
• Jo Ann Pelzer, RN

• Mental Illness Community Based Residential Treatment Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.