1. Home
  2. Directory
  3. Minnesota
  4. Crystal
  5. Assisted Living Facility
  6. NPI Profile

PEACE HOMECARE SERVICES LLC
NPI 1740826452
Assisted Living Facility in Crystal, MN

Active since November 18, 2019CLIA 24D2187643 · Waiver
5127 53RD AVE N, CRYSTAL, MN 55429(908) 414-1849 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peace Homecare Services Llc NPPES

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

PEACE HOMECARE SERVICES LLC (NPI 1740826452) is a healthcare organization registered as an assisted living facility in Crystal, Minnesota and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Peace Kibaara, Owner/ Administrator, as its authorized official.

NPPES Registry Identity

NPI1740826452
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePEACE HOMECARE SERVICES LLC
Location Address5127 53RD AVE NCrystal, MN 55429-3227
Mailing Address5127 53rd Ave NCrystal, MN 55429-3227 · (908) 414-1849
Phone(908) 414-1849
Organization SubpartNo
Authorized OfficialPeace KibaaraOwner/ Administrator · (908) 414-1849
Enumeration DateNovember 18, 2019
✔ NPI 1740826452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
5127 53RD AVE N, Crystal, MN 55429
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2187643

Peace Homecare Services LLC · Crystal, MN
Active · expires Jul 5, 2028
CLIA Number24D2187643
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorPeace M. Kibaara
Laboratory Phone(908) 414-1849
Laboratory LocationPeace Homecare Services LLC5127 53rd Ave N, Crystal, MN 55429
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Peace Homecare Services LLC's NPI number?

The NPI number for Peace Homecare Services LLC is 1740826452. It was assigned to this organization in the NPPES registry on November 18, 2019.

Where is Peace Homecare Services LLC located?

Peace Homecare Services LLC is located at 5127 53rd Ave N, Crystal, MN 55429. The listed phone number is (908) 414-1849.

What is Peace Homecare Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Peace Homecare Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2187643) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peace Homecare Services LLC was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.