Provider Demographics
NPI:1992361893
Name:AT PEACE INC.
Entity Type:Organization
Organization Name:AT PEACE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-955-0267
Mailing Address - Street 1:PO BOX 335334
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89033-5334
Mailing Address - Country:US
Mailing Address - Phone:702-955-0267
Mailing Address - Fax:
Practice Address - Street 1:1055 E FLAMINGO RD APT 322
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7443
Practice Address - Country:US
Practice Address - Phone:702-955-0267
Practice Address - Fax:702-442-9714
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AT PEACE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-15
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary RehabilitationGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No385H00000XRespite Care FacilityRespite Care