PEACE HOME (NPI# 1518306349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518306349 |
| Entity Type | Organization |
| Organization Name | PEACE HOME |
| Practice Address |
80 Bliley Lane Henderson NC 27537 |
| Mailing Address |
2331 Crownpoint Executive Drive Suite J Charlotte NC 28227 |
| Practice Telephone | 7048413544 |
| Practice Fax Number | 7048413545 |
| Mailing Telephone | 7048413544 |
| Mailing Fax Number | 7048413545 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | KIERAN M DEAN (PRESIDENT, CFO) |
| Authorized Official Telephone | 7048413544 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED SUPPORT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 091-085 | NC | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409493 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801081732 | Peace Home | Assisted Living Facility | 5040 Nw 197th St, Miami Gardens, FL 33055-1751 | 2007-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PEACE HOME LLC | 10345 Se Long St, Portland, OR 97266 |
| New York State Corporations | PEACE HOME MORTGAGES, LLC | 3975 University Drive, Suite 230, Fairfax, Va 22030 |
| System for Award Management (SAM) Entities | PEACE HOMECARE INC | 1818 W Lindsey Ste C-180, Norman, OK 73069-4152 |
| Colorado Business Entities | Peace Homes Foundation Ltd. | 1099 18th St, Suite 2900, Denver, CO 80202 |
| Iowa Business Entities | PEACE HOMESCHOOL GROUP INC. | 835 197th Place, Pella, IA 50219 |
| Street Address |
80 BLILEY LANE |
| City | HENDERSON |
| State | NC |
| Zip Code | 27537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931564 | Bonie Teal | Technician | 24 Waters Edge Rd, Henderson, NC 27537 | 2019-09-13 |
| 1720517147 | Jackson Thompson | Specialist/Technologist | 296 Cross Creek Rd, Henderson, NC 27537 | 2017-06-08 |
| 1346643160 | The Turner Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1945 Carey Chapel Road, Henderson, NC 27537 | 2014-10-07 |
| 1306285994 | Brown Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6789 Vicksboro Road, Henderson, NC 27537 | 2013-06-18 |
| 1346555349 | New Direction Ministries, Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 825 Thomas Road, Henderson, NC 27537 | 2010-08-13 |
| 1326371881 | Transforming Therapeutic Intensive Services | Clinic/Center | 416 Forest Hills Drive, Henderson, NC 27537 | 2009-09-15 |
| 1811166507 | D.d. Residential Services, Inc | Community/Behavioral Health | 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 | 2008-02-27 |
| 1083770598 | A.g.a.p.e. Community Development Corporation, Inc. | Case Management | 265 Satterwhite Point Road, Henderson, NC 27537 | 2006-12-29 |
| 1316438948 | Beulah Margaret Gracelyn Daniel Nirmal Singh | Physical Therapist | 2275 Ruin Creek Rd, Henderson, NC 27537 | 2018-05-18 |
| 1710380407 | The J Williams Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 287 Oak Hill Loop, Henderson, NC 27537 | 2014-10-08 |
| Find all providers in zip 27537 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1881207231 | Beyond Counseling & Consulting, LLC | Community/Behavioral Health | 10120 S Eastern Ave Ste 200, Henderson, NV 89052-3926 | 2020-08-26 |
| 1578171807 | Second Chances Behavioral Health | Community/Behavioral Health | 2715 Briarcliff Ave, Henderson, NV 89074-1210 | 2020-07-22 |
| 1861021438 | Raquel Martinez | Community/Behavioral Health | 870 Seven Hills Dr Ste 203, Henderson, NV 89052-4379 | 2020-04-06 |
| 1417506080 | Common Sense Behavioral Health | Community/Behavioral Health | 2722 Briarcliff Ave, Henderson, NV 89074-1251 | 2019-09-06 |
| 1740832617 | Aldis Therapy Services | Community/Behavioral Health | 2990 Sunrdg Hgts Ste 140, Henderson, NV 89052-4469 | 2019-07-11 |
| 1801356316 | Guardian Angel Healthcare, LLC | Community/Behavioral Health | 123 Young St, Henderson, NC 27536-4248 | 2019-03-21 |
| 1124587720 | Cornelius Williams | Community/Behavioral Health | 121 Young St, Henderson, NC 27536-4248 | 2019-03-14 |
| 1093274649 | Yasmene Kyle | Community/Behavioral Health | 339 Tin St Apt 522, Henderson, NV 89015-7392 | 2019-03-13 |
| 1124599840 | Able Mental Health Agency | Community/Behavioral Health | 764 Golden Sedum Dr, Henderson, NV 89011-2641 | 2018-12-06 |
| Find all providers in HENDERSON | ||||
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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.