Active NPI
Peaceful Home Care LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1972182418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PEACEFUL HOME CARE LLC
- Practice address
- 2021 E Dublin Granville Rd Ste 220
Columbus, OH 43229-3522 - Phone
- (614) 292-8606
- NPI assigned
- Apr 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guled Shire
- Title
- Manager
- Phone
- (614) 929-8606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2021 E Dublin Granville Rd Ste 220
Columbus, OH 43229-3522
Mailing address
2021 E Dublin Granville Rd Ste 220
Columbus, OH 43229-3522
Phone (614) 845-7684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972182418 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210604000469 | OH | Part A Provider - Home Health Agency | 4183023518 | Practice locations: Columbus, OH |
Home health agency certification: CCN 369329
- Legal name
- PEACEFUL HOMECARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 6, 2022
- Last certification
- Oct 6, 2022
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 16, 2021 in OH
- Enrollment address
- 2021 E Dublin Granville Rd
Ste 220
Columbus, OH 43229-3522
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Peaceful Homecare LLC
- Ownership
- Proprietary
- Certified
- Oct 6, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2021 E Dublin Granville Rd
Ste 220
Columbus, OH 43229
Phone (614) 292-8606
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sahro Jama | Corporate Director | Apr 16, 2021 | |
| Guled Shire | 5% Or Greater Direct Ownership Interest | Apr 16, 2021 | 100% |
| W-2 Managing Employee | Apr 1, 2021 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1972182418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E DUBLIN GRANVILLE RD STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293522",
"telephone_number": "614-845-7684",
"fax_number": "614-845-7683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E DUBLIN GRANVILLE RD STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293522",
"telephone_number": "614-292-8606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-02",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "SHIRE",
"authorized_official_first_name": "GULED",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "614-929-8606"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972182418",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "email",
"affiliation": "N",
"address_1": "2021 E Dublin Granville Rd Ste 220",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432293522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbus, OH
- Peace Home Care Services LLC
- Peace Medical Transportation Services LLC
- Peace of Mind Counseling
- Peace Transportation Corp. Dba Peace Home Care Services
- Sara Elizabeth Peace, PHARMD
- Peaceful Residential Services,LLC
- Peaceful Steps Living Home LLC
- Peacepoint Transportation LLC
- Peach State Medical Practice, PC
- Ami Marie Peacock, LISW-S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.