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NPI Code Detail

MEDICARE: PRESCRIBEPEACE HEALTH SERVICES LLC

MEDICARE: PRESCRIBEPEACE HEALTH SERVICES 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1871436196
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESCRIBEPEACE HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 628 E 120TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-2348
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 628 E 120TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-2348
Country : US
Telephone Number : 216-323-0480
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JORDAN NICKERSON
Credential :
Telephone Number : 440-470-0523
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “PRESCRIBEPEACE HEALTH SERVICES LLC ” Practice Location

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