Organization Active NPI

Peace of Mind in Home Care, LLC

  • In Home Supportive Care Agency
  • Medford, OR
National Provider Identifier
1356660799
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2227 Issued in OR
Legal business name
PEACE OF MIND IN HOME CARE, LLC
Practice address
3587 Heathrow Way
Suite a
Medford, OR 97504-4004
Phone
(541) 499-6205
Fax
(541) 499-6305
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mr. Craig Everett Banks
Title
Co-Owner
Phone
(541) 973-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2227 OR Primary

Addresses

Primary practice location

3587 Heathrow Way
Suite a
Medford, OR 97504-4004

Mailing address

PO Box 5078
Central Point, OR 97502-0044
Phone (541) 973-3377

National Provider Directory

National Provider Directory

Locations

3587 Heathrow Way
Ste A
Medford, OR 97504
Phone (541) 499-6205

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1356660799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5078",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975020044",
            "telephone_number": "541-973-3377",
            "fax_number": "541-499-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-499-6205",
            "fax_number": "541-499-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-973-3377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.