Provider Demographics
NPI:1508655168
Name:PEACEFUL NURSING SERVICES LLC
Entity type:Organization
Organization Name:PEACEFUL NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:859-669-0469
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-0093
Mailing Address - Country:US
Mailing Address - Phone:859-669-0469
Mailing Address - Fax:
Practice Address - Street 1:909 RIESLING CT
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-6501
Practice Address - Country:US
Practice Address - Phone:859-669-0469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty