MEDICARE: PEACEFUL PATH TO HOME CARE LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437986049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACEFUL PATH TO HOME CARE LLC

Provider Business Mailing Address
First Line	:	3367 DOGWOOD DR
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1439
Country	:	US
Telephone Number	:	404-919-8175
Fax Number	:

Provider Business Practice Location Address
First Line	:	3367 DOGWOOD DR
Second Line	:
City	:	HAPEVILLE
State	:	GA
Zip	:	30354-1439
Country	:	US
Telephone Number	:	877-704-0240
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	ADRIENNE HANNOR
Credential	:
Telephone Number	:	404-919-8175

Provider Enumeration Date	:	09/17/2024
Last Update Date	:	02/27/2026

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