Provider Demographics
NPI:1609664143
Name:PEGGY CARES NURSING & HOMECARE SERVICES PLLC
Entity type:Organization
Organization Name:PEGGY CARES NURSING & HOMECARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:F
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:407-486-7395
Mailing Address - Street 1:PO BOX 181543
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32718-1543
Mailing Address - Country:US
Mailing Address - Phone:407-486-7395
Mailing Address - Fax:
Practice Address - Street 1:1265 OAK ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3741
Practice Address - Country:US
Practice Address - Phone:407-486-7395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care