Provider Demographics
NPI:1295100949
Name:PEACE OF MIND HOME HEALTH GROUP, INC.
Entity type:Organization
Organization Name:PEACE OF MIND HOME HEALTH GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-405-9467
Mailing Address - Street 1:1241 S GLENDALE AVE
Mailing Address - Street 2:STE 304C
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3204
Mailing Address - Country:US
Mailing Address - Phone:818-405-9467
Mailing Address - Fax:818-459-7020
Practice Address - Street 1:1241 S GLENDALE AVE
Practice Address - Street 2:STE 304C
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205
Practice Address - Country:US
Practice Address - Phone:818-405-9467
Practice Address - Fax:818-459-7020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health