PEACEFUL CARE LIMITED LIABILITY COMPANY (NPI# 1700418977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700418977 |
| Entity Type | Organization |
| Organization Name | PEACEFUL CARE LIMITED LIABILITY COMPANY |
| Practice Address |
2415 Annapolis Ln N Ste 130 Plymouth MN 55441-3632 |
| Mailing Address |
10560 Auburndale Rd Chagrin Falls OH 44023-2344 |
| Practice Telephone | 6127016094 |
| Practice Fax Number | 7632056574 |
| Mailing Telephone | 9522013381 |
| Mailing Fax Number | 6122344361 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | ROGER CREWS (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 6127016094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2415 ANNAPOLIS LN N STE 130 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649890682 | Mohib Incorporated | Home Health | 17615 48th Ave N, Plymouth, MN 55446-2012 | 2020-04-20 |
| 1073153664 | Pleasant Light LLC | Home Health | 6150 Quinwood Ln N Apt 5104, Plymouth, MN 55442-1301 | 2020-01-10 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1821557869 | Answers for Elders LLC | Home Health | 225 Water St Ste A202, Plymouth, MA 02360-4060 | 2019-03-19 |
| 1932666104 | Dannys Staffing LLC | Home Health | 375 Raymond Rd, Plymouth, MA 02360-6812 | 2019-02-25 |
| 1346713682 | Prisendorf Care, LLC | Home Health | 3131 Fernbrook Ln N Ste 105, Plymouth, MN 55447-5336 | 2019-01-09 |
| 1174002554 | Generation Care Inc. | Home Health | 3150 Zircon Ln N, Plymouth, MN 55447-1064 | 2018-08-07 |
| 1912493404 | Guided Living Senior Home Care, LLC | Home Health | 15 Richards Rd Ste 1, Plymouth, MA 02360-4871 | 2018-07-08 |
| 1720598147 | The Good Samaritan Staffing | Home Health | 17935 56th Ave N, Plymouth, MN 55446-3018 | 2017-10-11 |
| 1700243649 | Minnesotawest Home Healthcare Inc | Home Health | 3403 Kilmer Ln N, Plymouth, MN 55441-2415 | 2016-01-22 |
| Find all providers in PLYMOUTH | ||||
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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.