Active NPI
Peace of Mind Home Care, LLC
- Assisted Living Facility
- White Bear Lake, MN
National Provider Identifier
1922701291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- PEACE OF MIND HOME CARE, LLC
- Practice address
- 2174 County Road F E
White Bear Lake, MN 55110-3801 - Phone
- (651) 493-8103
- Fax
- (651) 207-6387
- NPI assigned
- Mar 24, 2023
- Last updated
- Mar 24, 2023
- 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
- Jennifer S Garubanda
- Title
- Director
- Phone
- (651) 493-8103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2174 County Road F E
White Bear Lake, MN 55110-3801
Mailing address
2174 County Road F E
White Bear Lake, MN 55110-3801
Phone (651) 493-8103
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1922701291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2174 COUNTY ROAD F E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103801",
"telephone_number": "651-493-8103",
"fax_number": "651-207-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2174 COUNTY ROAD F E",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103801",
"telephone_number": "651-493-8103",
"fax_number": "651-207-6387"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A",
"authorized_official_last_name": "GARUBANDA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "651-493-8103"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.