Provider Demographics
NPI:1003483330
Name:A PEACEFUL JOURNEY HOSPICE, LLC
Entity Type:Organization
Organization Name:A PEACEFUL JOURNEY HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:480-358-7633
Mailing Address - Street 1:2821 S PARKER RD STE 135
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2798
Mailing Address - Country:US
Mailing Address - Phone:303-755-0915
Mailing Address - Fax:
Practice Address - Street 1:2821 S PARKER RD STE 135
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2798
Practice Address - Country:US
Practice Address - Phone:303-755-0915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based