Healthcare Provider Details

I. General information

NPI: 1396740924
Provider Name (Legal Business Name): PERITECH HOME HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 BEAVER DR STE 300
DU BOIS PA
15801-2523
US

IV. Provider business mailing address

7300 STATE HIGHWAY 121 STE 700
MCKINNEY TX
75070-2414
US

V. Phone/Fax

Practice location:
  • Phone: 814-375-1040
  • Fax: 814-375-1180
Mailing address:
  • Phone: 210-875-0853
  • Fax: 814-375-1180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StatePA

VIII. Authorized Official

Name: JESSICA LEANN RIGGS
Title or Position: CEO
Credential:
Phone: 210-271-2847