Provider Demographics
NPI:1811725039
Name:PEACE AT HOME CAREGIVERS LLC
Entity type:Organization
Organization Name:PEACE AT HOME CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:DIONE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-426-7501
Mailing Address - Street 1:600 PINE FOREST DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6916
Mailing Address - Country:US
Mailing Address - Phone:501-426-7501
Mailing Address - Fax:
Practice Address - Street 1:600 PINE FOREST DR STE 202
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6916
Practice Address - Country:US
Practice Address - Phone:501-426-7501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care