Peace of Mind Adult Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

064131 Issued in NC

Legal business name

PEACE OF MIND ADULT GROUP HOME

Practice address

703 Baybery LN
Nashville, NC 27856-1578

Phone

(252) 462-5483

Fax

(252) 462-5483

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Gary-Peterson

Title

Administrato/Owner

Phone

(252) 462-5483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1508126293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BAYBERY LN",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561578",
            "telephone_number": "252-462-5483",
            "fax_number": "252-462-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BAYBERY LN",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561578",
            "telephone_number": "252-462-5483",
            "fax_number": "252-462-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND ADULT GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "GARY-PETERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATO/OWNER",
        "authorized_official_telephone_number": "252-462-5483"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "064131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kesler Norton, O.T.R.
• Cynthia B O'Brien, RPH
• Erin Ogden, PT
• Open Arms Home Care
• Barbara Adams Overman, BS PHARM, RPH
• Peace of Mind Adult Group Home
• Molly Phillips, PHARMD
• Ervin L Phipps, MD
• Jennifer Pineda, OTR/L
• William B. Pittman, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nashville, NC
• Providers in Nashville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.