Peace of Mind Residential Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PEACE OF MIND RESIDENTIAL CARE

Practice address

17 Pinehurst LN
Stafford, VA 22554-7288

Phone

(646) 671-0516

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Texeria Jackson

Title

Administrator

Phone

(646) 671-0516

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Texeria Sanders-Jackson

  • Home Health Aide
  • Stafford, VA
  • NPI 1669987574
  NPD

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1699394346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PINEHURST LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PINEHURST LN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547288",
            "telephone_number": "646-671-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TEXERIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-671-0516"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Patterson
• Peretha Faye Patterson, C.O.T.A.
• Christopher Pavlosky, RN
• Areyana Payne
• Caroline E Payne
• Pediatric Partners for Attention and Learning, Inc.
• Pediatric Partners of Stafford PC
• Pediatrix Medical Group PC
• Marlena Pemberton
• Angela Maija-Liisa Penn

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stafford, VA
• Providers in Stafford, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.