Provider Demographics
NPI:1124134259
Name:PEACE HOME HEALTH INC.
Entity type:Organization
Organization Name:PEACE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-744-0133
Mailing Address - Street 1:1401 N CENTRAL EXPY STE 385
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4681
Mailing Address - Country:US
Mailing Address - Phone:972-744-0133
Mailing Address - Fax:
Practice Address - Street 1:1401 N CENTRAL EXPY STE 385
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4681
Practice Address - Country:US
Practice Address - Phone:972-744-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X, 3747P1801X, 376J00000X, 251E00000X
TX009229251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457963Medicare ID - Type UnspecifiedPROVIDER NUMBER