Peace of Mind Adult Group Home

Primary specialty

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

License

MHL-064-123 Issued in NC

Legal business name

PEACE OF MIND ADULT GROUP HOME

Practice address

703 Bayberry LN
Nashville, NC 27856-1578

Phone

(252) 538-1572

Fax

(252) 459-2391

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Adrian Lee Williams

Title

Owner

Phone

(252) 538-1572

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1598051302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 BAYBERRY LN",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561578",
            "telephone_number": "252-538-1572",
            "fax_number": "252-459-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BAYBERRY LN",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561578",
            "telephone_number": "252-538-1572",
            "fax_number": "252-459-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND ADULT GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-538-1572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-064-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DHHS",
            "identifier": "MHL-064-123",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Chioma Pitts

• 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 Jun 21, 2011; 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.