Provider Demographics
NPI:1851723233
Name:PEACE OF MIND IN HOME CARE LLC
Entity Type:Organization
Organization Name:PEACE OF MIND IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-204-2442
Mailing Address - Street 1:29905 COUNTY ROAD 581
Mailing Address - Street 2:
Mailing Address - City:ISHPEMING
Mailing Address - State:MI
Mailing Address - Zip Code:49849-9242
Mailing Address - Country:US
Mailing Address - Phone:906-204-2442
Mailing Address - Fax:
Practice Address - Street 1:29905 COUNTY ROAD 581
Practice Address - Street 2:
Practice Address - City:ISHPEMING
Practice Address - State:MI
Practice Address - Zip Code:49849-9242
Practice Address - Country:US
Practice Address - Phone:906-204-2442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID7542Q251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health