Healthcare Provider Details

I. General information

NPI: 1750246856
Provider Name (Legal Business Name): PEACEFUL REFLECTION HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4602 GRANITE LN
TOLEDO OH
43615-7662
US

IV. Provider business mailing address

4602 GRANITE LN
TOLEDO OH
43615-7662
US

V. Phone/Fax

Practice location:
  • Phone: 419-779-4656
  • Fax:
Mailing address:
  • Phone: 419-779-4656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IRENE AKAI ATONIA
Title or Position: FOUNDER/CEO
Credential: RN
Phone: 419-901-4023