NPIMap

Organization Active NPI

Peace of Mind Home Health Care Agency

  • Case Management Agency
  • Petersburg, WV
National Provider Identifier
1336598739
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2319-8575 Issued in WV
Legal business name
PEACE OF MIND HOME HEALTH CARE AGENCY
Practice address
836 Lunice Creek Hwy
Petersburg, WV 26847-7528
Phone
(304) 257-6690
Fax
(304) 257-8260
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Ms. Brenda Lynn Davis, BACHELOR DEGREE
Title
Owner/Admin
Phone
(304) 257-6690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2319-8575 WV Primary

Addresses

Primary practice location

836 Lunice Creek Hwy
Petersburg, WV 26847-7528

Mailing address

836 Lunice Creek Hwy
Petersburg, WV 26847-7528
Phone (304) 257-6690

National Provider Directory

National Provider Directory
Tax ID family
Peace of Mind Adult Medical Day Care Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1336598739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 LUNICE CREEK HWY",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268477528",
            "telephone_number": "304-257-6690",
            "fax_number": "304-257-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 LUNICE CREEK HWY",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268477528",
            "telephone_number": "304-257-6690",
            "fax_number": "304-257-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "304-257-6690",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BACHELOR DEGREE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "2319-8575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.