Provider Demographics
NPI:1366829665
Name:PEACE OF MIND HOME CARE
Entity Type:Organization
Organization Name:PEACE OF MIND HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EVENS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-465-5775
Mailing Address - Street 1:PO BOX 2057
Mailing Address - Street 2:
Mailing Address - City:IMMOKALEE
Mailing Address - State:FL
Mailing Address - Zip Code:34143-2057
Mailing Address - Country:US
Mailing Address - Phone:239-465-5775
Mailing Address - Fax:
Practice Address - Street 1:615 N 9TH ST
Practice Address - Street 2:
Practice Address - City:IMMOKALEE
Practice Address - State:FL
Practice Address - Zip Code:34142-2902
Practice Address - Country:US
Practice Address - Phone:239-465-5775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18697251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health