Healthcare Provider Details

I. General information

NPI: 1457008898
Provider Name (Legal Business Name): APS HEALTH AND INFUSION NURSING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 FOUNDERS WAY CO FOUNDER BLDG 1ST FLOOR
ROGERS AR
72758-6262
US

IV. Provider business mailing address

5001 FOUNDERS WAY CO FOUNDER BLDG 1ST FLOOR
ROGERS AR
72758-6262
US

V. Phone/Fax

Practice location:
  • Phone: 832-532-2499
  • Fax: 832-532-1744
Mailing address:
  • Phone: 832-532-2499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRIS J PETERSON
Title or Position: PRINCIPAL
Credential:
Phone: 209-539-2746