Peterson Home Care

LBN: Sid Peterson Memorial Hospital
Peterson Home Care is an health care organization with primary practice located at 250 Cully Dr , Kerrville TX 78028-5950. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Sid Peterson Memorial Hospital can be contacted via phone (830) 258-7400, or through Medovich, Lisa via phone (830) 258-7632.

Contact Information

Primary practice address
250 Cully Dr Kerrville TX 78028-5950
Fax: (830) 896-5859
Website:
Authorized official contact:
Name: Medovich, Lisa

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 002114 Texas

Profile Details

NPI number 1073582656
LBN Legal business name Sid Peterson Memorial Hospital
DBA Doing business as Peterson Home Care
Authorized official Medovich, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 27th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582656 NPPES
Texas MEDICAID 091526602
Texas Other 002114

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