# CAROL I PEAKE 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
- **Other names:** Peake Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992015135
- **Authorized official:** MRS. CAROL I. PEAKE NP-C (FNP)
- **Authorized official phone:** 41948810890

## Contact information

- **Practice address:** 5830 WOODROW DR, SYLVANIA, OH 43560-1245
- **Practice address phone:** (419) 488-2089
- **Mailing address:** 5830 WOODROW DR, SYLVANIA, OH 43560-1245
- **Mailing address phone:** (419) 488-2089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 177151 | OH | Yes |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 2127186 | OH | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | 177151 | OH | — |
| 281P00000X | Chronic Disease Hospital | 1467635664 | OH | — |
| 311ZA0620X | Adult Care Home Facility | 1992015135 | OH | — |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 11/20/2010