Peter-Elst LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PETER-ELST LLC

Practice address

3700 Lyckan Pkwy Ste a
Durham, NC 27707-2587

Phone

(919) 401-6655

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Olayide Olaniyan, B.A/QP

Title

Chief Executive Officer

Phone

(919) 401-6655

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Divine Supportbedge Healthcare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Peter-Elst LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1962809152
  NPD tax ID

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1780917294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 LYCKAN PKWY STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072587",
            "telephone_number": "919-401-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LYCKAN PKWY STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072587",
            "telephone_number": "919-401-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER-ELST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "OLANIYAN",
        "authorized_official_first_name": "OLAYIDE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-401-6655",
        "authorized_official_credential": "B.A/QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418993",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corin Alysia Pesci, FNP
• Andrew Michael Peseski, D.O.
• Peter a Tzendzalian, DDS, PA
• Peter F. Adland, M.D., P.a.
• Peter Perlman
• Peter-Elst LLC
• Andrew Peter, MD
• Elaine Longoria Peter
• Samuel Cody Peter, PHD
• Ann Peterkin, PHARMD

• In Home Supportive Care Agency in Durham, NC
• Providers in Durham, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.