PEACEFUL LIFE ASSISTED LIVING (NPI# 1457790420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457790420 |
| Entity Type | Organization |
| Organization Name | PEACEFUL LIFE ASSISTED LIVING |
| Practice Address |
7029 Groveton Dr Clinton MD 20735-4046 |
| Mailing Address |
7708 Old Alexandria Ferry Rd Clinton MD 20735-1872 |
| Practice Telephone | 3018686198 |
| Practice Fax Number | 3018687956 |
| Mailing Telephone | 3018568015 |
| Mailing Fax Number | 8885572119 |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2013-06-22 |
| Authorized Official Name | CHARITY BARRETT (ALM) |
| Authorized Official Telephone | 2404936441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
7029 GROVETON DR |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360986 | Merle Newkirk | Assisted Living Facility | 7606 Fox Hunt Ct, Clinton, MD 20735-3063 | 2020-09-10 |
| 1659982452 | Clinton Alf Operations LLC | Assisted Living Facility | 91 E Main St, Clinton, CT 06413-2139 | 2020-08-14 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1619491149 | Carolina Christian Ministrties | Assisted Living Facility | 300 Jacobs Hwy, Clinton, SC 29325-9400 | 2017-07-26 |
| 1649722158 | Chiama Group, Inc. | Assisted Living Facility | 6709 Briarcliff Dr, Clinton, MD 20735-4002 | 2016-11-01 |
| 1093188344 | Indiana's Center for Foot and Ankle Care, P.C. | Assisted Living Facility | 135 Green Forest Dr, Clinton, MS 39056-2235 | 2015-11-09 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| 1104037563 | Country Pines Phase II Lc | Assisted Living Facility | 1706 W 1800 N, Clinton, UT 84015-8324 | 2007-05-25 |
| 1790991354 | Bristol Care, Inc. | Assisted Living Facility | 1402 E Franklin St, Clinton, MO 64735-1768 | 2007-05-14 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.