Organization Active NPI

Peace of Mind Community Care, LLC

  • In Home Supportive Care Agency
  • Greensboro, NC
National Provider Identifier
1013660612
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.