Provider Demographics
NPI:1396740924
Name:PERITECH HOME HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:PERITECH HOME HEALTH ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-271-2847
Mailing Address - Street 1:7300 STATE HIGHWAY 121 STE 700
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2414
Mailing Address - Country:US
Mailing Address - Phone:210-875-0853
Mailing Address - Fax:814-375-1180
Practice Address - Street 1:375 BEAVER DR STE 300
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-2523
Practice Address - Country:US
Practice Address - Phone:814-375-1040
Practice Address - Fax:814-375-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015147050010Medicaid
PA0015147050011Medicaid
PA0015147050001Medicaid
PA0015147050007Medicaid
PA0015147050004Medicaid
PA0015147050003Medicaid
PA0015147050012Medicaid
PA0015147050002Medicaid
PA0015147050008Medicaid
PA0015147050009Medicaid