Provider Demographics
NPI:1669991055
Name:PEACEFUL CAREGIVERS OF TEXAS, LLC.
Entity type:Organization
Organization Name:PEACEFUL CAREGIVERS OF TEXAS, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANREWAJU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-859-5534
Mailing Address - Street 1:6804E HIGHWAY 6 S # 337
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8303 BEECH CROSSING DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5599
Practice Address - Country:US
Practice Address - Phone:832-859-5534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-17
Last Update Date:2017-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care