Peartree Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEARTREE HEALTH CARE

Practice address

1905 Womack Drive Hampton VA 23663
Hampton, VA 23663

Phone

(757) 561-9876

NPI assigned

May 3, 2023

Last updated

May 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khalid Deandre Peartree, CNA , MEDICATION AID

Title

Owner

Phone

(757) 561-9876

Specialties & licenses 3

Addresses

Other names 1

• Peartree Health Care Former legal business name

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1235828559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 WOMACK DRIVE HAMPTON VA 23663",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23663",
            "telephone_number": "757-561-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WOMACK DRIVE HAMPTON VA 23663",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23663",
            "telephone_number": "757-561-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARTREE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "PEARTREE",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "DEANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-561-9876",
        "authorized_official_credential": "CNA , MEDICATION AID"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peartree Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Beverly M. Patterson, D.N.P.
• Loel Zachery Payne, M.D.
• Tisha Marie Payne
• Peace of Mind Mental Health Services LLC (DBA Lifeologie Counseling Hampton Roads)
• Peaceful Minds Services LLC
• Pediatric Center PC
• Pediatric Dental Specialists of Hampton
• Pediatrics at the Hamptons (Dr. Angela Odom Austin)
• Stephanie L Peglow, DO
• Jiten Ralph Peiris

• Home Health Agency in Hampton, VA
• Providers in Hampton, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.