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Contact Information

PEAK MEDICAL ASSISTED LIVING, LLC
2884 N ROADRUNNER PKWY
LAS CRUCES, NM88011-0853
 Phone: 575-522-1110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PEAK MEDICAL ASSISTED LIVING, LLC

NPI # 1194772939
LBN Legal business name PEAK MEDICAL ASSISTED LIVING, LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/27/2006
Last updated 11/27/2018 - About 8 years ago
Identifiers
NM License # 5788
NM License # 5789
NM License # 5841
NM Other M156 BC/BS OF NM
NM Other PROVA41670 MOLINA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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