Provider Type Icon

PEACEFUL RESIDENTIAL SERVICESLLC NPI 1811261571


NPI Information

NPI: 1811261571
Provider Name: PEACEFUL RESIDENTIAL SERVICES,LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 36D2240336

Address:
2151 E DUBLIN GRANVILLE RD
COLUMBUS, OH
ZIP 43229
Phone: (614) 423-8326
Get Directions

PEACEFUL RESIDENTIAL SERVICES,LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbus, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PEACEFUL RESIDENTIAL SERVICES,LLC NPI is 1811261571. The provider is registered as an organization entity type.

The provider's business location address is:

2151 E DUBLIN GRANVILLE RD
COLUMBUS, OH
ZIP 43229-519
Phone: (614) 423-8326
Fax: (614) 423-8326

The provider's authorized official is Leroy Cooper .
The authorized official title is Ceo and has the following contact phone number (614) 423-8326.

The CLIA number assigned to this NPI record is 36D2240336 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2012 and was last updated on 2/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2558601OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.