OrganizationActive
Peaceful Home Assisted Living, Inc
NPI 1396200416 · Assisted Living Facility (Behavioral Disturbances) · Saint Paul, MN
Provider details
- NPI number
- 1396200416
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Yassin Ibrahim, President(612) 203-5035
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1186 Saint Paul Ave
Saint Paul, MN 55116-2557
Phone: (612) 203-5035
Fax: (651) 644-7041
Approximate (ZIP-level) locationGet directions
Mailing address
1731 Selby Ave
Saint Paul, MN 55104-6154
Registry dates
- Enumerated
- 2019-02-02
- Last updated
- 2019-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.