MEDICARE: PERITECH HOME HEALTH ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396740924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERITECH HOME HEALTH ASSOCIATES LLC

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

Provider Business Practice Location Address
First Line	:	375 BEAVER DR STE 300
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-2523
Country	:	US
Telephone Number	:	814-375-1040
Fax Number	:	814-375-1180

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	03/06/2025

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