Peacetree Community Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PEACETREE COMMUNITY LIVING LLC

Practice address

7515 NW 16TH St
Ankeny, IA 50023-8807

Phone

(515) 305-5749

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Stefanik

Title

President

Phone

(515) 305-5749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1992314827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 NW 16TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238807",
            "telephone_number": "515-305-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 NW 16TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238807",
            "telephone_number": "515-305-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACETREE COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "STEFANIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-305-5749"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Patterson
• Julianne Marie Patterson, ARNP, FNP-BC, FNP-C
• Jean Paul, D.O.
• Laura Lynne Pavlik, PHARMD
• Sarah Payne, LISW
• Peak Educational Center
• Bethany Pearson
• Sarah Peck
• Erika Ellen Peddicord, D.D.S
• Jonathan Pederson, ATC

• Assisted Living Facility (Mental Illness) in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Assisted Living Facility (Mental Illness) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.