Organization Active NPI

Peace of Mind Home Healthcare, Inc

  • In Home Supportive Care Agency
  • Swansea, IL
National Provider Identifier
1164333290
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEACE OF MIND HOME HEALTHCARE, INC
Practice address
12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314
Phone
(618) 230-4336
Fax
(618) 215-6556
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Mr. Gary Maurice Shuler
Title
President
Phone
(618) 230-4336

Specialties & licenses 1

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

Addresses

Primary practice location

12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314

Mailing address

12 Wolf Creek Dr Ste 100
Swansea, IL 62226-2314
Phone (618) 230-4336

Other identifiers 1

IdentifierTypeStateIssuer
6599314MedicaidIL

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1164333290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WOLF CREEK DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262314",
            "telephone_number": "618-230-4336",
            "fax_number": "618-215-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WOLF CREEK DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262314",
            "telephone_number": "618-230-4336",
            "fax_number": "618-215-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND HOME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-230-4336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6599314",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.