Provider Demographics
NPI:1437690294
Name:PEACE OF MIND HOME HEALTH, LLC
Entity Type:Organization
Organization Name:PEACE OF MIND HOME HEALTH, LLC
Other - Org Name:AMERICARE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN BIBBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-755-9309
Mailing Address - Street 1:600 N. PLANKINTON AVE SUITE 302
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53203
Mailing Address - Country:US
Mailing Address - Phone:414-755-9309
Mailing Address - Fax:414-755-7696
Practice Address - Street 1:600 N. PLANKINTON AVE SUITE 302
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53203
Practice Address - Country:US
Practice Address - Phone:414-755-9309
Practice Address - Fax:414-755-7696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care