Provider Demographics
NPI:1841941705
Name:PEACE OF HAPPINESS HOME HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:PEACE OF HAPPINESS HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:QUENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:888-551-1145
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:MONTREAT
Mailing Address - State:NC
Mailing Address - Zip Code:28757-0096
Mailing Address - Country:US
Mailing Address - Phone:888-551-1145
Mailing Address - Fax:
Practice Address - Street 1:221 NORTH CAROLINA TERR.
Practice Address - Street 2:
Practice Address - City:MONTREAT
Practice Address - State:NC
Practice Address - Zip Code:28757-0096
Practice Address - Country:US
Practice Address - Phone:888-551-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No385H00000XRespite Care FacilityRespite Care