Provider Demographics
NPI:1174209183
Name:PEACE UNITED HEALTHCARE LLC
Entity type:Organization
Organization Name:PEACE UNITED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEREJE
Authorized Official - Middle Name:GUTEMA
Authorized Official - Last Name:GECHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-485-8032
Mailing Address - Street 1:13002 SILVER BROOK DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8163
Mailing Address - Country:US
Mailing Address - Phone:614-485-8032
Mailing Address - Fax:888-388-0497
Practice Address - Street 1:13002 SILVER BROOK DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8163
Practice Address - Country:US
Practice Address - Phone:614-485-8032
Practice Address - Fax:888-388-0497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health