Provider Demographics
NPI:1982220695
Name:PEACE OF MIND HOMECARE SOLUTIONS OF THE PALM BEACHES LLC
Entity Type:Organization
Organization Name:PEACE OF MIND HOMECARE SOLUTIONS OF THE PALM BEACHES LLC
Other - Org Name:PEACE OF MIND HOMECARE SOLUTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSENORA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALCIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-502-0878
Mailing Address - Street 1:412 SE FAITH TER
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3242
Mailing Address - Country:US
Mailing Address - Phone:561-502-0878
Mailing Address - Fax:
Practice Address - Street 1:10570 S US HIGHWAY 1 STE 300
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5606
Practice Address - Country:US
Practice Address - Phone:561-502-0878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-18
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities