Provider Demographics
NPI:1629735949
Name:PEACE OF MIND HOME HEALTH CARE
Entity Type:Organization
Organization Name:PEACE OF MIND HOME HEALTH CARE
Other - Org Name:PEACE OF MIND HOME HEALTH CARE LLC.
Other - Org Type:Other Name
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/BP
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:MONQUIE
Authorized Official - Last Name:SEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-561-9227
Mailing Address - Street 1:4943 GERMANTOWN AVE. 1ST FLOOR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-5929
Mailing Address - Country:US
Mailing Address - Phone:484-561-9227
Mailing Address - Fax:
Practice Address - Street 1:4943 GERMANTOWN AVE. 1ST FLOOR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-5929
Practice Address - Country:US
Practice Address - Phone:484-561-9227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty