Organization Active NPI

Pom - Peace of Mind, LLC

  • Developmentally Disabled Services Day Training Agency
  • Louisville, KY
National Provider Identifier
1285209130
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
POM - PEACE OF MIND, LLC
Practice address
4113 Bardstown Road
Suite 108
Louisville, KY 40218-3292
Phone
(502) 200-4357
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Rena Watson Nuazee
Title
Co-Owner/Executive Director
Phone
(502) 200-4357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

4113 Bardstown Road
Suite 108
Louisville, KY 40218-3292

Mailing address

4113 Bardstown Road
Suite 108
Louisville, KY 40218-3292
Phone (502) 200-4357

National Provider Directory

National Provider Directory

Locations

4113 Bardstown Rd
Ste 108
Louisville, KY 40218
Phone (502) 200-4357

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1285209130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BARDSTOWN ROAD",
            "address_2": "SUITE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183292",
            "telephone_number": "502-200-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BARDSTOWN ROAD",
            "address_2": "SUITE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402183292",
            "telephone_number": "502-200-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POM - PEACE OF MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "NUAZEE",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "CO-OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-200-4357"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.