MEDICARE: PEACE OF HAPPINESS HOME HEALTH CARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	261QC1500X	Community Health Clinic/Center
4	385H00000X	Respite Care
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841941705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE OF HAPPINESS HOME HEALTH CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	PO BOX 96
Second Line	:
City	:	MONTREAT
State	:	NC
Zip	:	28757-0096
Country	:	US
Telephone Number	:	888-551-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 NORTH CAROLINA TERR.
Second Line	:
City	:	MONTREAT
State	:	NC
Zip	:	28757-0096
Country	:	US
Telephone Number	:	888-551-1145
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	QUENITA WINSTON
Credential	:	RN,BSN
Telephone Number	:	888-551-1145

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	01/12/2022

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