Organization Active NPI

Pek's Legacy Healthcare, Incorporated

  • Home Health Agency
  • Brenham, TX
National Provider Identifier
1033551940
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEK'S LEGACY HEALTHCARE, INCORPORATED
Practice address
102 E Alamo St
200 C
Brenham, TX 77833-3792
Phone
(979) 661-4485
Fax
(888) 316-5492
NPI assigned
Jul 19, 2013
Last updated
Dec 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eunice Koffi, RN
Title
Director
Phone
(979) 661-4485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

102 E Alamo St
200 C
Brenham, TX 77833-3792

Mailing address

102 E Alamo St
200 C
Brenham, TX 77833-3792
Phone (979) 661-4485

National Provider Directory

National Provider Directory

Locations

102 E Alamo St
#200C
Brenham, TX 77833
Phone (979) 661-4485

102 E Alamo St
Ste 200
Brenham, TX 77833
Phone (979) 661-4485

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1033551940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E ALAMO ST",
            "address_2": "200 C",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333792",
            "telephone_number": "979-661-4485",
            "fax_number": "888-316-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E ALAMO ST",
            "address_2": "200 C",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333792",
            "telephone_number": "979-661-4485",
            "fax_number": "888-316-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEK'S LEGACY HEALTHCARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "KOFFI",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "979-661-4485",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.