MEDICARE: PEACE ZONE HOME CARE, 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	253Z00000X	In Home Supportive Care Agency
2	253Z00000X	In Home Supportive Care Agency	HC4761	NC

General Provider Information

NPI Number	:	1265930523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE ZONE HOME CARE, INC

Provider Business Mailing Address
First Line	:	4925 W MARKET ST
Second Line	:	UNIT 1113
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4925 W MARKET ST STE 1113
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1566
Country	:	US
Telephone Number	:	336-334-2205
Fax Number	:	336-663-8487

Authorized Official
Title or Position	:	CEO
Name	:	NARAD GIRI
Credential	:
Telephone Number	:	336-334-2205

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	09/29/2021

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