PEACE OF MIND ADULT MEDICAL DAY CARE AGENCY, INC (NPI# 1104373711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104373711 |
| Entity Type | Organization |
| Organization Name | PEACE OF MIND ADULT MEDICAL DAY CARE AGENCY, INC |
| Other Organization Name | PEACE OF MIND HOME HEALTH CARE AGENCY |
| Practice Address |
836 Lunice Creek Hwy Petersburg WV 26847-7528 |
| Mailing Address |
836 Lunice Creek Hwy Po Box 184 Petersburg WV 26847-7528 |
| Practice Telephone | 3042576690 |
| Practice Fax Number | 3042578260 |
| Mailing Telephone | 3042576690 |
| Mailing Fax Number | 3042578260 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | MS. BRENDA LYNN DAVIS (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 3042576690 |
| Authorized Official Credential | BACHELORS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
23198575 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 23198575 | 05 | |
| WV | 160820003 | 05 | |
| WV | WVTPID005600 | 05 |
| Other Name | Type Code |
|---|---|
| Peace of Mind Home Health Care Agency | Other Name - Individual/Organization |
| Street Address |
836 LUNICE CREEK HWY |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757035 | Piece of Mind Home Health Care Agency | Clinic/Center | 836 Lunice Creek Hwy, Petersburg, WV 26847-7528 | 2015-08-20 |
| 1336598739 | Peace of Mind Home Health Care Agency | Case Management | 836 Lunice Creek Hwy, Petersburg, WV 26847-7528 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750757035 | Piece of Mind Home Health Care Agency | Clinic/Center | 836 Lunice Creek Hwy, Petersburg, WV 26847-7528 | 2015-08-20 |
| 1871971770 | Interfaith Adult Day Care, Inc. | Clinic/Center | 201 Walnut Blvd, Petersburg, VA 23805-2025 | 2015-05-12 |
| 1942699889 | Loving Years Adult Daycare Center Inc | Clinic/Center | 2793 S Crater Rd Ste H, Petersburg, VA 23805-2472 | 2015-01-15 |
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on PEACE OF MIND ADULT MEDICAL DAY CARE AGENCY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.