Organization Active NPI

Peace of Mind Home Care, LLC

  • Home Health Agency
  • Saint Joseph, MO
National Provider Identifier
1346541976
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC1098497 Issued in MO
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

Updated by the provider on Jun 1, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0011472MedicaidMO
0011472-2MedicaidMO

Other names 1

  • Comfort of Home Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.