# A PEACEFUL HOME HEALTHCARE CDS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649750845
- **Authorized official:** MISS KISHA C JACKSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 329-7744

## Contact information

- **Practice address:** 3920 LINDELL BLVD STE 208, SAINT LOUIS, MO 63108-3254
- **Practice address phone:** (314) 329-7744
- **Practice address fax:** (314) 601-3437
- **Mailing address:** PO BOX 300502, SAINT LOUIS, MO 63130-0653
- **Mailing address phone:** (314) 599-3652
- **Mailing address fax:** (314) 601-3437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2018
- **Last updated:** 09/22/2023