MEDICARE: PEACEFUL LIVING ASSISTANT INC

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1205715430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACEFUL LIVING ASSISTANT INC

Provider Business Mailing Address
First Line	:	826 BURR OAK LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53713-1228
Country	:	US
Telephone Number	:	608-515-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	826 BURR OAK LN
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53713-1228
Country	:	US
Telephone Number	:	608-515-7400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ZAM ZAM ABDI
Credential	:
Telephone Number	:	608-515-7400

Provider Enumeration Date	:	09/01/2025
Last Update Date	:	09/01/2025

Similar Medicare Providers

1932062999 — PRIME ASSISTANT LIVING LLC
Practice Location Address:

826 BURR OAK LN
MADISON, WI
53713-1228

Practice Phone: 608-515-7400
Practice Fax:

1316964208 — WILLIAM LESLIE HORNBACK III MD
Practice Location Address:

1622 MADISON AVENUE
TIFTON, GA
31794-1228

Practice Phone: 229-388-5625
Practice Fax: 229-353-6377

1659554947 — DEBRA J ROGERS RN
Practice Location Address:

1228 SPAIGHT ST
MADISON, WI
53703-4442

Practice Phone: 608-256-6626
Practice Fax:

1114480878 — MALECK THERAPY, LLC
Practice Location Address:

5609 MEDICAL CIR STE 201
MADISON, WI
53719-1228

Practice Phone: 608-514-1625
Practice Fax: 608-398-8881

1679217434 — BUSRA GUNGOR MD
Practice Location Address:

920 MADISON AVENUE SUITE 447
MEMPHIS, TN
38163-1228

Practice Phone: 901-448-4795
Practice Fax:

1710736517 — KATARINA HANZEL MS
Practice Location Address:

5609 MEDICAL CIR STE 201
MADISON, WI
53719-1228

Practice Phone: 608-514-1625
Practice Fax:

Directions to “PEACEFUL LIVING ASSISTANT INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.