PEACE OF MIND SUPPORT SERVICES INC. (NPI# 1104481621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104481621 |
| Entity Type | Organization |
| Organization Name | PEACE OF MIND SUPPORT SERVICES INC. |
| Practice Address |
10544 Braddock Run Rd Middle River MD 21220-1927 |
| Mailing Address |
750 Concourse Cir Ste 103-444 Middle River MD 21220-2995 |
| Practice Telephone | 4436530441 |
| Mailing Telephone | 4436530441 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Authorized Official Name | DONEESHA LIGHTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4436530441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
10544 BRADDOCK RUN RD |
| City | MIDDLE RIVER |
| State | MD |
| Zip Code | 21220-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164119 | Sian Crosby | Speech-Language Pathologist | Glenmar Elementrary School, 9700 Community Drive, Middle River, MD 21220 | 2018-11-29 |
| 1336545029 | Andrea Tuck | Counselor | 24 Granny Smith Ct, Baltimore, MD 21220 | 2014-11-07 |
| 1356762959 | Johns Hopkins Hospital | General Acute Care Hospital | 11550 Crossroad Circle, Unit 606, Middle River, MD 21220 | 2013-12-27 |
| 1770693392 | Costco Wholesale Corporation | Pharmacy | 9919 Pulaski Hwy, Baltimore, MD 21220 | 2006-08-30 |
| 1255393344 | James Wallace Carpenter | Physician Assistant | 10 North Green St, Va Med Center Ward 6b, Baltimore, MD 21220 | 2006-04-04 |
| 1386624427 | Allen F Clowers | Family Medicine | 107 Beacon Road, Baltimore, MD 21220 | 2006-01-17 |
| 1306229794 | Dorcas Lwanga | Dietitian, Registered | 201 Ballard Ave, Middle River, MD 21220 | 2015-07-02 |
| 1437550761 | Eastern Avenue Dental, LLC | Dentist | 12412 Eastern Ave, Baltimore, MD 21220 | 2014-09-05 |
| 1366857617 | Suprina Kaur | Dentist | 12412 Eastern Ave, Middle River, MD 21220 | 2014-06-25 |
| 1316905227 | Chienyenwa E. Nwachinemere | Internal Medicine | 201 Ballard Ave, Middle River, MD 21220 | 2006-05-02 |
| Find all providers in zip 21220 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074312 | Axis Support Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9721 Luguna Rd, Middle River, MD 21220-3769 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659978 | Your Choices Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8480 Baltimore National Pike # 141, Ellicott City, MD 21043-3369 | 2020-11-02 |
| 1225638786 | Alternative Dda Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Reisterstown Rd Ste 180, Baltimore, MD 21208-1313 | 2020-10-26 |
| 1487251195 | Shore Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8221 Teal Dr Ste 422, Easton, MD 21601-7212 | 2020-10-06 |
| 1750909875 | Richcroft Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11350 Mccormick Rd Ste 700, Hunt Valley, MD 21031-1002 | 2020-07-07 |
| 1710501648 | Together We Stand Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3702 Evergreen Ave, Baltimore, MD 21206-3420 | 2020-06-06 |
| 1447870985 | Palmer's Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3410 Gateshead Manor Way Apt 201, Silver Spring, MD 20904-6114 | 2020-04-24 |
| 1477185338 | A.w. Holdings of Maryland, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Klees Mill Rd, Westminster, MD 21157-8230 | 2020-02-10 |
| 1851930382 | Daylight Healthcare Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3812 Pikeswood Dr, Randallstown, MD 21133-2710 | 2020-01-01 |
| 1205479763 | Oasis Plus Social Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4446 Regalwood Ter, Burtonsville, MD 20866-2227 | 2019-10-28 |
| 1003459777 | Walter Obi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4201 Brookside Oaks, Owings Mills, MD 21117-5168 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE RIVER |
| Zip Code | 21220 |
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| 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.