PEACE OF MIND RESIDENTIAL CARE


Address: 17 Pinehurst Ln, Stafford, VA 22554-7288
Phone: 6466710516

PEACE OF MIND RESIDENTIAL CARE (NPI# 1699394346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699394346
Entity Type Organization
Organization Name PEACE OF MIND RESIDENTIAL CARE
Practice Address 17 Pinehurst Ln
Stafford
VA 22554-7288
Practice Telephone 6466710516
Enumeration Date 2020-04-13
Last Update Date 2020-04-13
Authorized Official Name TEXERIA JACKSON (ADMINISTRATOR)
Authorized Official Telephone 6466710516
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 17 PINEHURST LN
City STAFFORD
State VA
Zip Code 22554-7288

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1699385658 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 1640 Publix Way, Stafford, VA 22554 2020-08-05
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1831680214 Radka Loucka Counselor 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 2018-05-22
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1184088502 Inina Plucer-rosario Behavioral Analyst 12 Monument Drive, Stafford, VA 22554 2016-04-12
1528451218 Insight Psychological Services, Pllc Counselor 11 Hope Rd., Suite 213, Stafford, VA 22554 2015-03-05
1194142885 Krystal Karin Edmonds Behavioral Analyst 538 Apricot Street, Stafford, VA 22554 2014-03-20
1851715312 Maryann Byrne Counselor 108 Brandice St, Stafford, VA 22554 2014-02-04
1164857272 Melissa C Keylor Counselor 11 Hope Road, Suite 213, Stafford, VA 22554 2013-09-09
1255777959 Sophia Rodrigues Physical Therapist 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 2013-05-21
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649895830 Nora O Adeyinka Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12840 S Kirkwood Rd Apt 535, Stafford, TX 77477-3833 2020-06-12
1114579265 Ntum Aza Altorshan Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12330 Grove Meadow Dr, Stafford, TX 77477-2204 2019-07-09
1477886240 Acoson Healthcare Services, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2327 S Beverly Cir, Stafford, TX 77477-6381 2009-09-11
1730705450 American Intervention Centers Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12840 S Kirkwood Rd Apt 535, Stafford, TX 77477-3833 2020-06-18
1396071429 Arinze Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2327 S Beverly Cir, Stafford, TX 77477-6381 2009-10-24
1720160286 Chrisborn Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4800 Sugar Grove Blvd, Suite 290, Stafford, TX 77477-2635 2006-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134729213 Saint Claire Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 2020-10-28
1780283275 Great Day Residential Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 2020-10-26
1306451448 Nikita S Banks Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 2020-09-15
1396359576 Best Hope Community Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9662 Hawkshead Dr, Lorton, VA 22079-2786 2020-09-03
1609489038 Viana Healthcare Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8205 Mockingbird Dr, Annandale, VA 22003-3713 2020-08-25
1770196339 Jilly Healthcare Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4145 Lenox Dr, Fairfax, VA 22032-1112 2020-08-24
1225640279 Guardian Angels Homecare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1116 Pin Oak Drive, Suffolk, VA 23434-2343 2020-08-20
1659993079 Collaborative Community LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6000 Filbert Ct, Springfield, VA 22152-1609 2020-05-07
1356962252 Intellectual Services Group, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4813 Integrity Ct, Fredericksburg, VA 22408-1891 2020-05-01
1487282729 Eye Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 721 Cabin Creek Dr, Hopewell, VA 23860-5350 2020-03-31
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Competitor

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City STAFFORD
Zip Code 22554

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Dataset Information

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.

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