Organization Active NPI

Peace of Mind Adult Care Homes, LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1477624930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH-4899 Issued in AZ
Legal business name
PEACE OF MIND ADULT CARE HOMES, LLC
Practice address
6512 E Pershing Ave
Scottsdale, AZ 85254-3937
Phone
(480) 668-3621
Fax
(480) 668-3619
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Phillip Berry
Title
Owner President
Phone
(480) 668-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH-4899 AZ Primary

Addresses

Primary practice location

6512 E Pershing Ave
Scottsdale, AZ 85254-3937

Mailing address

6512 E Pershing Ave
Scottsdale, AZ 85254-3937
Phone (480) 668-3621

Other identifiers 1

IdentifierTypeStateIssuer
910100OtherAZARIZONA PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477624930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 E PERSHING AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543937",
            "telephone_number": "480-668-3621",
            "fax_number": "480-668-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 E PERSHING AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543937",
            "telephone_number": "480-668-3621",
            "fax_number": "480-668-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND ADULT CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "480-668-3621",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-4899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PROVIDER NUMBER",
            "identifier": "910100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.