Organization Active NPI

Peters Agency Hospice and Pallitative Care, LLC

  • Community Based Hospice Care Agency
  • Sallisaw, OK
National Provider Identifier
1194081547
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PETERS AGENCY HOSPICE AND PALLITATIVE CARE, LLC
Practice address
1015 E. Choctaw
Sallisaw, OK 74955
Phone
(918) 790-7555
Fax
(918) 790-7587
NPI assigned
Apr 10, 2012
Organization subpart
Yes
Parent organization
PETERS AGENCY CARE MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mrs. Trudy Ales Peters, RN MBA CCRN-R CCM LH
Title
Executive Administrator / Ceo
Phone
(918) 775-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1015 E. Choctaw
Sallisaw, OK 74955

Mailing address

P.O. Box 886
1015 E Choctaw
Sallisaw, OK 74955
Phone (918) 790-7555

National Provider Directory

National Provider Directory
Part of
Peters Agency Care Management LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1194081547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 886",
            "address_2": "1015 E CHOCTAW",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-790-7555",
            "fax_number": "918-790-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E. CHOCTAW",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-790-7555",
            "fax_number": "918-790-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS AGENCY HOSPICE AND PALLITATIVE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETERS AGENCY CARE MANAGEMENT",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "ALES",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR / CEO",
        "authorized_official_telephone_number": "918-775-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MBA CCRN-R CCM LH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.