Healthcare Provider Details

I. General information

NPI: 1871366450
Provider Name (Legal Business Name): PEACEFUL HOME & COMMUNITY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 ELLIS RD STE 51E
DURHAM NC
27703-6014
US

IV. Provider business mailing address

PO BOX 1832
WAKE FOREST NC
27588-1832
US

V. Phone/Fax

Practice location:
  • Phone: 734-796-5049
  • Fax: 919-892-6160
Mailing address:
  • Phone: 919-527-3904
  • Fax: 919-892-6160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: IFEANYI PEACE ANAZOBI
Title or Position: OWNER
Credential:
Phone: 734-796-5049