Provider Demographics
NPI:1265930523
Name:PEACE ZONE HOME CARE, INC
Entity type:Organization
Organization Name:PEACE ZONE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NARAD
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-334-2205
Mailing Address - Street 1:4925 W MARKET ST
Mailing Address - Street 2:UNIT 1113
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1566
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4925 W MARKET ST STE 1113
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1566
Practice Address - Country:US
Practice Address - Phone:336-334-2205
Practice Address - Fax:336-663-8487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
NCHC4761253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care