Peters Agency Provider Services, Llc

LBN: Peters Agency Home Care, Llc
Peters Agency Provider Services, Llc is an health care organization with primary practice located at 1015 East Choctaw Avenue , Sallisaw OK 74955-5011. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker. Agencies / In Home Supportive Care is the primary health care specialty. Peters Agency Home Care, Llc can be contacted via phone (918) 790-7555, or through Peters, Trudy A via phone (918) 775-6555.

Contact Information

Primary practice address
1015 East Choctaw Avenue Sallisaw OK 74955-5011
Phone: (918) 790-7555
Fax: (918) 790-7587
Website:
Map and Directions
Authorized official contact:
Name: Peters, Trudy A MBA, RN, CCM, LHCA
Phone: (918) 775-6555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 7891 Oklahoma
Agencies / In Home Supportive Care 253Z00000X 7891 Oklahoma
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 7891 Oklahoma
Nursing Service Related Providers / Homemaker 376J00000X 7891 Oklahoma

Profile Details

NPI number 1245568070
LBN Legal business name Peters Agency Home Care, Llc
DBA Doing business as Peters Agency Provider Services, Llc
Authorized official Peters, Trudy A MBA, RN, CCM, LHCA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2009
Last updated Jun 10th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245568070 NPPES
Oklahoma MEDICAID 200202440

Popular Providers