PEACEFUL HOME ASSISTED LIVING, INC
NPI 1396200416
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Saint Paul, MN

Q: What is Peaceful Home Assisted Living, Inc's NPI number?

The NPI number for Peaceful Home Assisted Living, Inc is 1396200416. It was assigned to this organization in the NPPES registry on February 2, 2019.

Q: What is Peaceful Home Assisted Living, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since February 02, 2019

1186 SAINT PAUL AVE, SAINT PAUL, MN 55116(612) 203-5035(651) 644-7041 Get Directions Write a Review

NPPES record last updated: February 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peaceful Home Assisted Living, Inc NPPES

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

PEACEFUL HOME ASSISTED LIVING, INC (NPI 1396200416) is a healthcare organization registered as an assisted living, behavioral disturbances in Saint Paul, Minnesota and active in the NPI registry since February 2019. The organization lists Yassin A Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1396200416

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NamePEACEFUL HOME ASSISTED LIVING, INC

Location Address1186 SAINT PAUL AVESaint Paul, MN 55116-2557

Mailing Address1731 Selby AveSaint Paul, MN 55104-6154 · (612) 203-5035 · Fax (651) 644-7041

Phone(612) 203-5035

Fax(651) 644-7041

Organization SubpartNo

Authorized OfficialYassin A IbrahimPresident · (612) 203-5035

Enumeration DateFebruary 2, 2019

✔ NPI 1396200416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

1186 SAINT PAUL AVE, Saint Paul, MN 55116

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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 Home Assisted Living, Inc's NPI number?

The NPI number for Peaceful Home Assisted Living, Inc is 1396200416. It was assigned to this organization in the NPPES registry on February 2, 2019.

Where is Peaceful Home Assisted Living, Inc located?

Peaceful Home Assisted Living, Inc is located at 1186 Saint Paul Ave, Saint Paul, MN 55116. The listed phone number is (612) 203-5035.

What is Peaceful Home Assisted Living, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Peaceful Home Assisted Living, Inc was last updated on February 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.