PEACOCK INVESTMENT ENTERPRISES NPI 1770886475

NPI Information

  • NPI: 1770886475
  • Provider Name: PEACOCK INVESTMENT ENTERPRISES
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 458 NW MARION ST
    MADISON, FL
    ZIP 32340
  • Phone: (850) 973-9800

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NPI Details

PEACOCK INVESTMENT ENTERPRISES is an assisted living facility in Madison, FL. 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. PEACOCK INVESTMENT ENTERPRISES NPI is 1770886475. The provider is registered as an organization entity type.

The provider's business location address is:

458 NW MARION ST
MADISON, FL
ZIP 32340-431
Phone: (850) 973-9800
Fax: (850) 973-9600

The provider's authorized official is Rachel Peacock .
The authorized official title is Administrator and has the following contact phone number (850) 973-9800.

The enumeration date for this NPI number is 12/19/2010 and was last updated on 12/19/2010.

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 FacilityAL10759FLORIDANo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL10795FLORIDANo
3310400000XAssisted Living FacilityAL10295FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1689952801MEDICAIDFLORIDA
2142510200MEDICAIDFLORIDA
3689952800MEDICAIDFLORIDA

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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