Active NPI
Peace of Mind Community Care, LLC
- In Home Supportive Care Agency
- Greensboro, NC
National Provider Identifier
1013660612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PEACE OF MIND COMMUNITY CARE, LLC
- Practice address
- 2031 Martin Luther King Jr Dr Ste D3
Greensboro, NC 27406-3342 - Phone
- (743) 258-9540
- NPI assigned
- Feb 2, 2022
- Organization subpart
- Yes
- Parent organization
- PEACE OF MIND FAMILY HOME CARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexis Mishawn Clemonts
- Title
- Owner/Agency Director
- Phone
- (743) 258-9540
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Private Vehicle | 347C00000X | |||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
2031 Martin Luther King Jr Dr Ste D3
Greensboro, NC 27406-3342
Mailing address
2604 Grimsley St
Greensboro, NC 27403-3136
Phone (743) 258-9540
Other names 1
- Peace Of Mind Family Home Care
National Provider Directory
National Provider DirectoryLocations
1825 Banking St
#29729
Greensboro, NC 27408
301 S Greene St
Ste 203C
Greensboro, NC 27401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1013660612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 GRIMSLEY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274033136",
"telephone_number": "743-258-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 MARTIN LUTHER KING JR DR STE D3",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063342",
"telephone_number": "743-258-9540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND COMMUNITY CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEACE OF MIND FAMILY HOME CARE, LLC",
"enumeration_date": "2022-02-02",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "CLEMONTS",
"authorized_official_first_name": "ALEXIS",
"authorized_official_middle_name": "MISHAWN",
"authorized_official_title_or_position": "OWNER/AGENCY DIRECTOR",
"authorized_official_telephone_number": "743-258-9540"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peace Of Mind Family Home Care",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Greensboro, NC
- Suzanne Rene' Payne
- Austin Alexander Paytes, PHARMD, CPP
- Jose Ernesto Paz, M.D.
- Peace of H.O.P.E Foundation Inc
- Peace of Mind Behavioral Health Services
- Peace of Mind Lab & Testing Services
- Peace Physical Therapy LLC
- Peace Zone Home Care, Inc
- Jasmine Marie Peace, LCSWA
- Peaceful Pathways Therapeutic Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.