Provider Demographics
NPI:1730420191
Name:PEACE OF MIND CAREGIVERS, INC.
Entity type:Organization
Organization Name:PEACE OF MIND CAREGIVERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-725-1586
Mailing Address - Street 1:1925 E BELT LINE RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-5801
Mailing Address - Country:US
Mailing Address - Phone:469-208-5354
Mailing Address - Fax:469-287-7908
Practice Address - Street 1:1925 E BELT LINE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5801
Practice Address - Country:US
Practice Address - Phone:469-208-5354
Practice Address - Fax:469-287-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care