Organization
PEACE OF MIND HOME CARE, LLC
Active
Other names
Comfort of Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DOUGLAS (MANAGING MEMBER/CEO)
(816) 617-1225
Entity
Organization
Contact information
Practice address
3723 BECK RD STE C, SAINT JOSEPH, MO 64506-2071
(816) 671-0298
(816) 396-5909
Mailing address
3723 BECK RD STE C, SAINT JOSEPH, MO 64506-2071
(816) 671-0298
(816) 396-5909
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC1098497
MO
251S00000X
Community/Behavioral Health Agency
0011472-2
MO
253Z00000X
In Home Supportive Care Agency
0011472
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011472
—
MO
05
—
0011472-2
—
MO
Enumeration date
11/12/2010
Last updated
06/01/2021
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