MEDICARE: AT PEACE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	2279P1005X	Pulmonary Rehabilitation Registered Respiratory Therapist
3	251F00000X	Home Infusion Agency
4	253Z00000X	In Home Supportive Care Agency
5	261QR0400X	Rehabilitation Clinic/Center
6	385H00000X	Respite Care
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1992361893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT PEACE INC.

Provider Business Mailing Address
First Line	:	PO BOX 335334
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89033-5334
Country	:	US
Telephone Number	:	702-955-0267
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 E FLAMINGO RD APT 322
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7443
Country	:	US
Telephone Number	:	702-955-0267
Fax Number	:	702-442-9714

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLITA TEAGUES
Credential	:
Telephone Number	:	702-955-0267

Provider Enumeration Date	:	05/15/2019
Last Update Date	:	12/07/2021

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Directions to “AT PEACE INC. ” Practice Location

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