Peyatte Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEYATTE INC

Doing business as

Amada Senior Care WV

Practice address

5324 Maccorkle Ave SE Ste 1
Charleston, WV 25304-2200

Phone

(304) 693-2500

Fax

(304) 693-2501

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Kari Peyatte

Title

President

Phone

(304) 693-2500

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care WV Doing business as

Locations

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1417412354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 MACCORKLE AVE SE STE 1",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042200",
            "telephone_number": "304-693-2500",
            "fax_number": "304-693-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 MACCORKLE AVE SE STE 1",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042200",
            "telephone_number": "304-693-2500",
            "fax_number": "304-693-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYATTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "PEYATTE",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-693-2500"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariah Delayna Pettry, B.S.
• Stephanie Pettry
• Timothy Pettry
• Louann Petts, M.A.
• Heather Peyatt
• Emily Shae Peyton
• Carlie Pfost, PARAPROFESSIONAL
• Christina Phalen
• Coretta Phares
• Amanda Phelps

• In Home Supportive Care Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• In Home Supportive Care Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.