Provider Demographics
NPI:1497372874
Name:PEACE OF MIND SENIOR CARE LLC
Entity Type:Organization
Organization Name:PEACE OF MIND SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEYDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-646-4826
Mailing Address - Street 1:16262 NW 8TH DR
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1107
Mailing Address - Country:US
Mailing Address - Phone:954-646-4826
Mailing Address - Fax:
Practice Address - Street 1:16262 NW 8TH DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1107
Practice Address - Country:US
Practice Address - Phone:954-646-4826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health