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PEACEFUL HOME ASSISTED LIVING INC NPI 1396200416


NPI Information

NPI: 1396200416
Provider Name: PEACEFUL HOME ASSISTED LIVING, INC
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
1186 SAINT PAUL AVE
SAINT PAUL, MN
ZIP 55116
Phone: (612) 203-5035
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PEACEFUL HOME ASSISTED LIVING, INC is an assisted living and behavioral disturbances assisted living facility in Saint Paul, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. PEACEFUL HOME ASSISTED LIVING, INC NPI is 1396200416. The provider is registered as an organization entity type.

The provider's business location address is:

1186 SAINT PAUL AVE
SAINT PAUL, MN
ZIP 55116-557
Phone: (612) 203-5035
Fax: (651) 644-7041

The provider's authorized official is Yassin A Ibrahim .
The authorized official title is President and has the following contact phone number (612) 203-5035.

The enumeration date for this NPI number is 2/2/2019 and was last updated on 2/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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