Organization Active NPI

Peters Home Health Group, LLC

  • In Home Supportive Care Agency
  • Covington, GA
National Provider Identifier
1295014686
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
107R0003 Issued in GA
Legal business name
PETERS HOME HEALTH GROUP, LLC
Practice address
7209 Turner Lake Rd NW
Covington, GA 30014-2067
Phone
(770) 385-0300
Fax
(404) 419-6779
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Mr. Yede Weiss
Title
President
Phone
(770) 385-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 107R0003 GA Primary

Addresses

Primary practice location

7209 Turner Lake Rd NW
Covington, GA 30014-2067

Mailing address

222 Route 59 Ste 302
Suffern, NY 10901-5208
Phone (770) 385-0300

National Provider Directory

National Provider Directory

Locations

4126 Robinson St NW
Covington, GA 30014

7209 Turner Lake Rd NW
Covington, GA 30014
Phone (770) 385-0300

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1295014686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59 STE 302",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015208",
            "telephone_number": "770-385-0300",
            "fax_number": "404-419-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 TURNER LAKE RD NW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142067",
            "telephone_number": "770-385-0300",
            "fax_number": "404-419-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS HOME HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "YEDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-385-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "107R0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.