Active NPI
Cort D Peters
- In Home Supportive Care Agency
- Escondido, CA
National Provider Identifier
1346940921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 374700309
- Practice address
- 111 N Broadway
Escondido, CA 92025-2713 - Phone
- (442) 777-7437
- NPI assigned
- Mar 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 374700309 | CA | Primary |
Addresses
Primary practice location
111 N Broadway
Escondido, CA 92025-2713
Mailing address
111 N Broadway
Escondido, CA 92025-2713
Phone (442) 777-7437
Other names 1
- Cortpeters Inc. Dba Senior Helpers San Diego North
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374700309 | CA | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortpeters Inc | In Home Supportive Care | Current | Accepting new patients |
Locations
111 N Broadway
Escondido, CA 92025
Phone (442) 777-7437
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Escondido, CA
- NPI 1225724180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1346940921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N BROADWAY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252713",
"telephone_number": "442-777-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N BROADWAY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252713",
"telephone_number": "442-777-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CORT",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-03",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": "374700309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORTPETERS INC.",
"last_name": "SENIOR HELPERS SAN DIEGO NORTH",
"middle_name": "DBA",
"credential": "SH SAN DIEGO NORTH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.