Active NPI
Peace of Mind Home Care, LLC
- Home Health Agency
- Saint Joseph, MO
National Provider Identifier
1346541976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- LC1098497
- Legal business name
- PEACE OF MIND HOME CARE, LLC
- Doing business as
- Comfort of Home Healthcare
- Practice address
- 3723 Beck Rd Ste C
Saint Joseph, MO 64506-2071 - Phone
- (816) 671-0298
- Fax
- (816) 396-5909
- NPI assigned
- Nov 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Douglas
- Title
- Managing Member/Ceo
- Phone
- (816) 617-1225
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LC1098497 | MO | Primary |
| Community/Behavioral Health Agency | 251S00000X | 0011472-2 | MO | |
| In Home Supportive Care Agency | 253Z00000X | 0011472 | MO |
Addresses
Primary practice location
3723 Beck Rd Ste C
Saint Joseph, MO 64506-2071
Mailing address
3723 Beck Rd Ste C
Saint Joseph, MO 64506-2071
Phone (816) 671-0298
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011472 | Medicaid | MO | |
| 0011472-2 | Medicaid | MO |
Other names 1
- Comfort of Home Healthcare
National Provider Directory
National Provider DirectoryLocations
224 N 7th St
Saint Joseph, MO 64501
3723 Beck Rd
Ste C
Saint Joseph, MO 64506
Phone (816) 671-0298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1346541976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3723 BECK RD STE C",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062071",
"telephone_number": "816-671-0298",
"fax_number": "816-396-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 BECK RD STE C",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062071",
"telephone_number": "816-671-0298",
"fax_number": "816-396-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-12",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "MANAGING MEMBER/CEO",
"authorized_official_telephone_number": "816-617-1225",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "LC1098497",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MO",
"license": "0011472-2",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": "0011472",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011472",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011472-2",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort of Home Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.