Provider Demographics
NPI:1619748597
Name:PEACE ACADEMY LLC
Entity Type:Organization
Organization Name:PEACE ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMEKA
Authorized Official - Middle Name:SHANAE
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-578-4705
Mailing Address - Street 1:17142 E LOUISIANA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5298
Mailing Address - Country:US
Mailing Address - Phone:402-578-4705
Mailing Address - Fax:
Practice Address - Street 1:17142 E LOUISIANA DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5298
Practice Address - Country:US
Practice Address - Phone:402-578-4705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle