Provider Demographics
NPI:1750136479
Name:ALIGNED PEACE HOME CARE
Entity type:Organization
Organization Name:ALIGNED PEACE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-807-8537
Mailing Address - Street 1:5612 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-2248
Mailing Address - Country:US
Mailing Address - Phone:414-807-8537
Mailing Address - Fax:
Practice Address - Street 1:5612 RIVIERA DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-2248
Practice Address - Country:US
Practice Address - Phone:414-807-8537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty