Active NPI
Peters Agency Hospice and Pallitative Care, LLC
- Community Based Hospice Care Agency
- Sallisaw, OK
National Provider Identifier
1194081547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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 MANAGEMENT
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Case Management Agency
- Sallisaw, OK
- NPI 1578691010
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.