Provider Demographics
NPI:1245544097
Name:PEACE OF MIND HOME HEALTH CARE
Entity type:Organization
Organization Name:PEACE OF MIND HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:G
Authorized Official - Last Name:THATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-544-4872
Mailing Address - Street 1:2272 LOGANS LN
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:OH
Mailing Address - Zip Code:45693-9633
Mailing Address - Country:US
Mailing Address - Phone:937-544-4872
Mailing Address - Fax:937-544-2523
Practice Address - Street 1:2272 LOGANS LN
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-9633
Practice Address - Country:US
Practice Address - Phone:937-544-4872
Practice Address - Fax:937-544-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health