MEDICARE: PEACEFUL PRESENCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1336945591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACEFUL PRESENCE, LLC

Provider Business Mailing Address
First Line	:	6266 CRANBERRY LN W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-2558
Country	:	US
Telephone Number	:	954-899-7916
Fax Number	:	904-606-0793

Provider Business Practice Location Address
First Line	:	6266 CRANBERRY LN W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-2558
Country	:	US
Telephone Number	:	954-899-7916
Fax Number	:	904-606-0793

Authorized Official
Title or Position	:	OWNER
Name	:	PEACEFUL PRESENCE
Credential	:
Telephone Number	:	954-899-7916

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	11/25/2025

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Directions to “PEACEFUL PRESENCE, LLC ” Practice Location

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