Healthcare Provider Details

I. General information

NPI: 1518897230
Provider Name (Legal Business Name): PEACEFUL MOMENTS CLHF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1478 CHAVEZ CIR
PERRIS CA
92571-8366
US

IV. Provider business mailing address

1478 CHAVEZ CIR
PERRIS CA
92571-8366
US

V. Phone/Fax

Practice location:
  • Phone: 562-221-0676
  • Fax:
Mailing address:
  • Phone: 562-221-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: TERRANCE HEROD
Title or Position: MANAGER
Credential:
Phone: 562-221-0676