1396740924 NPI number — PERITECH HOME HEALTH ASSOCIATES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396740924 NPI number — PERITECH HOME HEALTH ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERITECH HOME HEALTH ASSOCIATES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396740924
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7300 STATE HIGHWAY 121 STE 700
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070-2414
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-875-0853
Provider Business Mailing Address Fax Number:
814-375-1180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
375 BEAVER DR STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DU BOIS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15801-2523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-375-1040
Provider Business Practice Location Address Fax Number:
814-375-1180
Provider Enumeration Date:
06/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RIGGS
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
LEANN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
210-271-2847

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0015147050010 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050011 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050007 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050012 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050008 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0015147050009 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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