PETERSON HOME CARE
NPI 1073582656
Home Health in Kerrville, TX

Q: What is Sid Peterson Memorial Hospital's NPI number?

The NPI number for Sid Peterson Memorial Hospital is 1073582656. It was assigned to this organization in the NPPES registry on March 16, 2006. The provider is doing business as Peterson Home Care.

Q: What is Sid Peterson Memorial Hospital's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since March 16, 2006CLIA 45D0897203 · Waiver

250 CULLY DR, KERRVILLE, TX 78028(830) 258-7400(830) 896-5859 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2022, Nov 9, 2021, Dec 2, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Peterson Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSON HOME CARE (NPI 1073582656) is a healthcare organization registered as a home health in Kerrville, Texas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Lisa Medovich, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073582656

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSID PETERSON MEMORIAL HOSPITAL

Location Address250 CULLY DRKerrville, TX 78028-5950

Mailing Address551 Hill Country DrKerrville, TX 78028-6085 · (830) 257-3111 · Fax (830) 896-5859

Phone(830) 258-7400

Fax(830) 896-5859

Organization SubpartNo

Authorized OfficialLisa MedovichChief Financial Officer · (830) 258-7632

Enumeration DateMarch 16, 2006

Last NPPES UpdateJuly 27, 20225 updates tracked since enumeration

NPPES CertifiedJuly 27, 2022

✔ NPI 1073582656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in TX · 002114

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

250 CULLY DR, Kerrville, TX 78028

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Other Names 1

Doing Business AsPeterson Home Care

Other Identifiers 2

Other002114TX · Texas Health And Human Services Commission

Medicaid091526602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Home Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20070508000223Part A · Home Health AgencyDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0897203

Peterson Home Care · Kerrville, TX

Active · expires Jan 30, 2027

CLIA Number45D0897203

Laboratory TypeHome Health Agency

Certificate Effective DateJanuary 31, 2025

Certificate Expiration DateJanuary 30, 2027

Laboratory DirectorJames A. Young

Laboratory Phone(830) 258-7440

Laboratory LocationPeterson Home Care250 Cully Drive, Kerrville, TX 78028

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Sid Peterson Memorial Hospital (CMS certification number 45T007), from CMS Care Compare.

Sid Peterson Memorial Hospital

Inpatient rehabilitation facility · Kerrville, TX

OwnershipNon-profit

CMS Certification Number45T007

Medicare-Certified SinceJuly 1, 2002

Location551 Hill Country Dr.Kerrville, TX 78028

Phone(830) 258-7554

Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation

Hip or femur fracture

patient stays

Hip or knee replacement, amputation or other bone or joint condition

patient stays

Stroke

patient stays

Spinal cord disease or condition (non-traumatic)

patient stays

Nervous system disorder (excluding stroke)

patient stays

Brain injury (traumatic)

patient stays

Brain disease or condition (non-traumatic)

Less than 11 patient stays

Spinal cord injury (traumatic)

Less than 11 patient stays

All other conditions

patient stays

Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found

Drug Regimen Review · 386 patient stays

100%

Patients given a current list of their medications at discharge

Transfer of Health Information to the Patient · 289 patient stays

80.6%

Medication list sent to the next provider at discharge

Transfer of Health Information to the Provider · 97 patient stays

97.9%

Patients who meet or exceed the self-care ability expected for their condition at discharge

Discharge Self-Care Score · 358 patient stays

46.1%

Patients who meet or exceed the mobility expected for their condition at discharge

Discharge Mobility Score · 358 patient stays

57.8%

Patients who meet or exceed the overall function expected at discharge

Discharge Function Score · 358 patient stays

56.15%

Patients who experienced one or more falls with major injury during their stay

386 patient stays · Lower rates are better for this measure.

0.3%

Patients with pressure ulcers or injuries that are new or worsened

Risk-adjusted rate · 386 patient stays · observed rate 1% · Lower rates are better for this measure.

Healthcare workers given the influenza vaccine

1,373 healthcare workers

80.4%

Healthcare workers up to date on COVID-19 vaccination

1,618 healthcare workers

Clostridioides difficile (C. diff) infections

0 observed infections · 2.256 predicted · 5,187 patient days

0.000

standardized infection ratio

No Different than the National Benchmark

Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community

355 of 478 patient stays · observed rate 74.27%

67.24%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions within 30 days after discharge

21 readmissions of 480 patient stays · observed rate 4.38% · Lower rates are better for this measure.

8.05%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions during the rehabilitation stay

13 readmissions of 511 patient stays · observed rate 2.54% · Lower rates are better for this measure.

4.28%

risk-standardized rate

No Different than the National Rate

Medicare spending per episode of care

1.00 = national average per episode of care · based on 572 episodes

1.00

spending ratio

Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOL LYNN BURCH

Nurse Practitioner (Family)