Provider Demographics
NPI:1417562257
Name:PEACE OF MIND HOME CARE SERVICES
Entity Type:Organization
Organization Name:PEACE OF MIND HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:METEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-462-5670
Mailing Address - Street 1:1505 CARTER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-6120
Mailing Address - Country:US
Mailing Address - Phone:813-462-8670
Mailing Address - Fax:
Practice Address - Street 1:1102 RAY CHARLES BLVD UNIT 314
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3050
Practice Address - Country:US
Practice Address - Phone:813-526-8931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services