Active NPI
4 Your Peace of Mind, LLC
- Home Health Agency
- Vernon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmen M. Julien
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Ownership
- Proprietary
- Certified
- Mar 25, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2202180 | 4 Your Peace of Mind, LLC | Certificate of waiver | Nov 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Carol Baez | 5% Or Greater Direct Ownership Interest | Feb 8, 2018 | 25% |
| Corporate Officer | Feb 8, 2018 | 25% | |
| Carmen Julien | 5% Or Greater Direct Ownership Interest | Apr 8, 2020 | 55% |
| Corporate Officer | Apr 8, 2020 | 55% | |
| Robert Baez | 5% Or Greater Direct Ownership Interest | Apr 8, 2020 | 20% |
| Corporate Officer | Apr 8, 2020 | 20% | |
| Joseph Raul Padilla | Corporate Director | Nov 11, 2019 | 100% |
| W-2 Managing Employee | Nov 11, 2019 | 100% | |
| Operational/Managerial Control | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield Center, CT
- NPI 1780420984
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mansfield Center, CT
- NPI 1780420984
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.