PEACEFUL HOUSE III
NPI 1356546113
Custodial Care Facility - Adult Care Home in Durham, NC

Active since June 20, 2007
2724 MARLIN DR, DURHAM, NC 27703(919) 641-7981(919) 957-4681 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peaceful House Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEFUL HOUSE III (NPI 1356546113) is a healthcare organization registered as an adult care home in Durham, North Carolina and active in the NPI registry since June 2007. The organization lists Carley Y Jegbadai, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356546113
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePEACEFUL HOUSE III
Location Address2724 MARLIN DRDurham, NC 27703-4354
Mailing Address2724 Marlin DrDurham, NC 27703-4354 · (919) 641-7981 · Fax (919) 957-4681
Fax(919) 957-4681
Organization SubpartNo
Authorized OfficialCarley Y JegbadaiAdministrator · (919) 790-1953
Enumeration DateJune 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1356546113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2724 MARLIN DR, Durham, NC 27703

Other Identifiers 1

Medicaid7805386NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
2724 MARLIN DR
DURHAM, NC 27703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peaceful House III's NPI number?

The NPI number for Peaceful House III is 1356546113. It was assigned to this organization in the NPPES registry on June 20, 2007.

Where is Peaceful House III located?

Peaceful House III is located at 2724 Marlin Dr, Durham, NC 27703. The listed phone number is (919) 641-7981.

What is Peaceful House III's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Peaceful House III was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.