Organization Active NPI

Peace of Mind Home Health Care Agency LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1104597129
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEACE OF MIND HOME HEALTH CARE AGENCY LLC
Practice address
4911 D St
Philadelphia, PA 19120-4321
Phone
(267) 736-8764
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Felicia Cooper
Title
Vice President/Alt Administrator
Phone
(267) 276-8925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4911 D St
Philadelphia, PA 19120-4321

Mailing address

4911 D St
Philadelphia, PA 19120-4321
Phone (267) 736-8764

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1104597129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 D ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204321",
            "telephone_number": "267-736-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 D ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191204321",
            "telephone_number": "267-736-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "VICE PRESIDENT/ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "267-276-8925"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.