Provider Demographics
NPI:1053809459
Name:ST PETER HEALTH CARE LLC
Entity type:Organization
Organization Name:ST PETER HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANZOA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-203-3878
Mailing Address - Street 1:6811 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8630
Mailing Address - Country:US
Mailing Address - Phone:469-203-3878
Mailing Address - Fax:
Practice Address - Street 1:6811 WINSTON DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8630
Practice Address - Country:US
Practice Address - Phone:469-203-3878
Practice Address - Fax:877-710-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty