Organization Active NPI

Peace of Mind Enterprise

Doing business as Peace of Mind Group Home

  • Recovery Care Clinic/Center
  • Tolleson, AZ
National Provider Identifier
1023899325
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
PEACE OF MIND ENTERPRISE
Doing business as
Peace of Mind Group Home
Practice address
10145 W Cordes Rd
Tolleson, AZ 85353-8443
Phone
(480) 433-4460
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amara JabatehNPI 1417737891
Title
Co-Owner
Phone
(602) 477-9735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X NU Primary

Addresses

Primary practice location

10145 W Cordes Rd
Tolleson, AZ 85353-8443

Mailing address

10145 W Cordes Rd
Tolleson, AZ 85353-8443
Phone (480) 433-4460

Other names 1

  • Peace of Mind Group Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1023899325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10145 W CORDES RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853538443",
            "telephone_number": "480-433-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10145 W CORDES RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853538443",
            "telephone_number": "480-433-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "JABATEH",
        "authorized_official_first_name": "AMARA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-477-9735"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace of Mind Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.