Provider Demographics
NPI:1962288498
Name:PEACE OF MIND HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:PEACE OF MIND HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-809-2522
Mailing Address - Street 1:2814 HIDDEN SPRING DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-1979
Mailing Address - Country:US
Mailing Address - Phone:314-809-2522
Mailing Address - Fax:
Practice Address - Street 1:1515 N WARSON RD STE 125
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1113
Practice Address - Country:US
Practice Address - Phone:314-809-2522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health