PEACE HEALTHCARE SYSTEMS NPI 1326863002

NPI Information

  • NPI: 1326863002
  • Provider Name: PEACE HEALTHCARE SYSTEMS
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2327284
  • Address: 8255 GRANGE BLVD
    COTTAGE GROVE, MN
    ZIP 55016
  • Phone: (651) 214-0975

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NPI Details

PEACE HEALTHCARE SYSTEMS is an assisted living facility in Cottage Grove, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PEACE HEALTHCARE SYSTEMS NPI is 1326863002. The provider is registered as an organization entity type.

The provider's business location address is:

8255 GRANGE BLVD
COTTAGE GROVE, MN
ZIP 55016-823
Phone: (651) 214-0975

The provider's authorized official is Fatai A Popoola .
The authorized official title is Lald and has the following contact phone number (651) 214-0975.

The CLIA number assigned to this NPI record is 24D2327284 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2024 and was last updated on 11/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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: 11/21/2025

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