Peppertree Complete Care, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

1016629 Issued in TX

Legal business name

PEPPERTREE COMPLETE CARE, LLC

Practice address

11818 Longwood Garden Way
Houston, TX 77047-4434

Phone

(832) 900-2384

NPI assigned

Oct 30, 2008

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kina Jefferson

Title

Ceo

Phone

(832) 527-6750

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1790938025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S LOOP W STE 448",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542606",
            "telephone_number": "832-900-2384",
            "fax_number": "888-259-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 LONGWOOD GARDEN WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474434",
            "telephone_number": "832-900-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11200 Broadway St",
            "address_2": "2102",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775849785",
            "country_code": "US",
            "telephone_number": "832-527-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEPPERTREE COMPLETE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "KINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-527-6750"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "1016629",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX HHSC LONGTERM CARE CONTRACT NUMBER",
            "identifier": "001008749",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "FAX",
            "affiliation": "N",
            "endpointDescription": "All patient information is faxed",
            "address_1": "2600 S Loop W Ste 448",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770542606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridget Ann Pepe, PA-C
• Nicole Salcedo Pepito, FNP
• Kaes Edward Pepke
• Spyridon Peppas, M.D.
• Mary Michele Pepper, LPC, LMFT
• Gabriela Lisette Pequeno, LPC
• Waseem Peracha, M.D.
• Cristal Perales
• Daniel Perales, PT
• Elizabeth Perales

• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.