Provider Demographics
NPI:1396567442
Name:PEACEFUL LIVING HOME CARE LLC
Entity type:Organization
Organization Name:PEACEFUL LIVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-600-7994
Mailing Address - Street 1:5825 COLUMBIA CIR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-9147
Mailing Address - Country:US
Mailing Address - Phone:317-600-7994
Mailing Address - Fax:317-534-3477
Practice Address - Street 1:5825 COLUMBIA CIR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-9147
Practice Address - Country:US
Practice Address - Phone:317-600-7994
Practice Address - Fax:317-534-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health