Provider Demographics
NPI:1306419965
Name:PEACEFUL HEARTS HOSPICE LLC
Entity Type:Organization
Organization Name:PEACEFUL HEARTS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-651-8525
Mailing Address - Street 1:1812 N 203RD ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2885
Mailing Address - Country:US
Mailing Address - Phone:402-651-8525
Mailing Address - Fax:
Practice Address - Street 1:1812 N 203RD ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2885
Practice Address - Country:US
Practice Address - Phone:402-651-8525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based