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Contact Information

PEACEFULLHAVENSLLC
2701 E LAFAYETTE ST APT 5
DETROIT, MI48207-3954
 Phone: 713-291-1249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for PEACEFULLHAVENSLLC

NPI # 1013735778
LBN Legal business name PEACEFULLHAVENSLLC
Authorized official WILLIE SMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2024
Last updated 11/10/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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