Organization Active NPI

4 Your Peace of Mind, LLC

  • Home Health Agency
  • Vernon, CT
National Provider Identifier
1922585660
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
4 YOUR PEACE OF MIND, LLC
Practice address
220 Hartford Tpke Ste 2
Vernon, CT 06066-4700
Phone
(860) 791-2161
Fax
(860) 432-8791
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Mrs. Carmen M. JulienNPI 1730672270
Title
Owner
Phone
(860) 879-4699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

220 Hartford Tpke Ste 2
Vernon, CT 06066-4700

Mailing address

220 Hartford Tpke Ste 2
Vernon, CT 06066-4700
Phone (860) 791-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201228001836 CT Part A Provider - Home Health Agency 1658784277 Practice locations: South Windsor, CT

Home health agency certification: CCN 077276

Legal name
4 YOUR PEACE OF MIND, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 25, 2021
Last certification
Mar 25, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 8, 2018 in CT
Enrollment address
435 Buckland Rd
Ste 201
South Windsor, CT 06074-3720

Care Compare: Home health agency

Medicare Care Compare
Listed as
4 Your Peace of Mind, LLCCCN 077276
Ownership
Proprietary
Certified
Mar 25, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D22021804 Your Peace of Mind, LLC220 Hartford Turnpike, Vernon, CT 06066Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

Locations

435 Buckland Rd
Ste 201
South Windsor, CT 06074
Phone (800) 820-5323

220 Hartford Tpke
Ste 2
Vernon Rockville, CT 06066
Phone (860) 871-0616

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carol Baez Individual 5% Or Greater Direct Ownership InterestCeo Feb 8, 2018 25%
Corporate OfficerCeo Feb 8, 2018 25%
Carmen Julien Individual 5% Or Greater Direct Ownership InterestPresident Apr 8, 2020 55%
Corporate OfficerCeo Apr 8, 2020 55%
Robert Baez Individual 5% Or Greater Direct Ownership InterestCfo Apr 8, 2020 20%
Corporate Officer Apr 8, 2020 20%
Joseph Raul Padilla Individual Corporate DirectorAdminstrator Nov 11, 2019 100%
W-2 Managing EmployeeAdministrator Nov 11, 2019 100%
Operational/Managerial ControlAdminstrator Nov 11, 2019 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1922585660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HARTFORD TPKE STE 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664700",
            "telephone_number": "860-791-2161",
            "fax_number": "860-432-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HARTFORD TPKE STE 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664700",
            "telephone_number": "860-791-2161",
            "fax_number": "860-432-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 YOUR PEACE OF MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "JULIEN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-879-4699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.