Peterson Family Care, LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

PETERSON FAMILY CARE, LLC

Practice address

3507 Lee Blvd Ste 273
Lehigh Acres, FL 33971-1323

Phone

(239) 770-4235

Fax

(888) 203-0442

NPI assigned

Oct 24, 2018

Last updated

Jan 28, 2022By 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

Chevone L. Peterson

Title

Director

Phone

(239) 770-4235

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1962979369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 273",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711323",
            "telephone_number": "239-770-4235",
            "fax_number": "888-203-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 273",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711323",
            "telephone_number": "239-770-4235",
            "fax_number": "888-203-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHEVONE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-770-4235"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009279700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaneisy Perez
• Yaquelin Perez
• Zoe Macarena Perez
• Personal Family Health Care
• Karen Marie Perta, CCC SLP
• Charlotta Peterson
• Stephanie J Peterson, LMT MA57965
• Roselaine Petit-Frere
• Jason Petit
• Rachell Phillips, APRN FNP-BC

• Transportation Network Company in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Transportation Network Company in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.