PETERS AGENCY HOME CARE, LLC (NPI# 1245568070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245568070 |
| Entity Type | Organization |
| Organization Name | PETERS AGENCY HOME CARE, LLC |
| Other Organization Name | PETERS AGENCY PROVIDER SERVICES, LLC |
| Practice Address |
1015 East Choctaw Avenue Sallisaw OK 74955-5011 |
| Practice Telephone | 9187907555 |
| Practice Fax Number | 9187907587 |
| Mailing Telephone | 9187907555 |
| Mailing Fax Number | 9187907587 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | MRS. TRUDY A PETERS (CEO) |
| Authorized Official Telephone | 9187756555 |
| Authorized Official Credential | MBA, RN, CCM, LH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | 7891 | OK | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
7891 | OK | Nursing Service Related Providers |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 7891 | OK | Agencies |
| Y | 253Z00000X | In Home Supportive Care | 7891 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200202440 | 05 |
| Other Name | Type Code |
|---|---|
| Peters Agency Provider Services, LLC | Doing Business As Name - Organization |
| Street Address |
1015 EAST CHOCTAW AVENUE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741184 | Zawadi Care LLC | In Home Supportive Care | 525 S Main St Ste 311, Tulsa, OK 74103-4509 | 2020-05-13 |
| 1447889803 | Invigilo Home Care LLC | In Home Supportive Care | 3555 Nw 58th St Ste 350, Oklahoma City, OK 73112-4723 | 2020-04-06 |
| 1609400514 | Integrity Nursing Services LLC | In Home Supportive Care | 8906 E Skelly Dr Ste Q, Tulsa, OK 74129-3403 | 2020-02-29 |
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1548810534 | Wichita and Affiliated Tribes | In Home Supportive Care | 1 1/4 Mi. N Hwy 281, Anadarko, OK 73005 | 2019-09-12 |
| 1861044372 | Lb Enterprises, LLC | In Home Supportive Care | 4845 S Sheridan Rd Ste 516, Tulsa, OK 74145-5751 | 2019-07-15 |
| 1700446259 | T&r Services, Inc. | In Home Supportive Care | 3844 N. Macarthur Blvd, Warr Acres, OK 73122 | 2019-06-17 |
| 1821653023 | Allow Us LLC | In Home Supportive Care | 9313 Sw 28th St, Oklahoma City, OK 73128-3235 | 2019-05-03 |
| 1578033858 | Ideal Touch Health Care Inc | In Home Supportive Care | 12808 E 37th Pl, Tulsa, OK 74146-3205 | 2018-11-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.