MEDICARE: PEACE IN MY HOME 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1780537746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE IN MY HOME LLC

Provider Business Mailing Address
First Line	:	749 LYDGATE RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-5418
Country	:	US
Telephone Number	:	901-216-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	749 LYDGATE RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-5418
Country	:	US
Telephone Number	:	901-216-5437
Fax Number	:

Authorized Official
Title or Position	:	OWNER ADMINISTRATOR
Name	:	PHYLANTYNIESE LASHUNDA STONE
Credential	:
Telephone Number	:	901-216-5437

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “PEACE IN MY HOME LLC ” Practice Location

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