Provider Demographics
NPI:1619491016
Name:A PEACEFUL HEART HOME CARE LLC
Entity Type:Organization
Organization Name:A PEACEFUL HEART HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-482-6116
Mailing Address - Street 1:5750 RUFE SNOW DR STE 135
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6167
Mailing Address - Country:US
Mailing Address - Phone:888-482-6116
Mailing Address - Fax:877-211-9810
Practice Address - Street 1:5750 RUFE SNOW DR STE 135
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6167
Practice Address - Country:US
Practice Address - Phone:888-482-6116
Practice Address - Fax:877-211-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty