Peters Agency Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7891 Issued in OK

Legal business name

PETERS AGENCY HOME CARE LLC

Practice address

1900 N Macarthur Blvd
Suite 125
Oklahoma City, OK 73127-2617

Phone

(405) 601-9605

Fax

(405) 601-9606

NPI assigned

Jul 18, 2008

Organization subpart

Yes

Parent organization

PETERS AGENCY HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Trudy A Peters, RN CCM

Title

Ceo

Phone

(918) 775-6555

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Peters Agency Home Care LLC2 organizations share this tax ID, including this one

Part of

Peters Agency Care Management LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peters Agency Home Care, LLC

  • In Home Supportive Care Agency
  • Sallisaw, OK
  • NPI 1245568070
  NPD tax ID

Locations

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.

• Peters Agency Home Care, LLC

  • In Home Supportive Care Agency
  • Sallisaw, OK
  • NPI 1245568070
  NPPES parent name

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1346405396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N MACARTHUR BLVD",
            "address_2": "SUITE 125",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731272617",
            "telephone_number": "405-601-9605",
            "fax_number": "405-601-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MACARTHUR BLVD",
            "address_2": "SUITE 125",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731272617",
            "telephone_number": "405-601-9605",
            "fax_number": "405-601-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERS AGENCY HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETERS AGENCY HOME CARE LLC",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-775-6555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN CCM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100685560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Petalcu
• Spechal Pete
• Peter Quoc Le
• Deborah Peter, APRN, CNS
• Courtney Peterman, CCC-SLP
• Marisa Peters Pate, M. ED.
• Cristy Dawn Peters
• Dalton Peters
• Daniella Sara Peters, PT
• Emily Peters, PH.D.

• Home Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.