Provider Type Icon

PEAK COMMUNITY SUPPORTS LLC NPI 1184813107


NPI Information

NPI: 1184813107
Provider Name: PEAK COMMUNITY SUPPORTS, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
410 S 1ST ST STE 101
LOUISVILLE, KY
ZIP 40202
Phone: (502) 363-1700
Get Directions

PEAK COMMUNITY SUPPORTS, LLC is a day training developmentally disabled services in Louisville, KY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PEAK COMMUNITY SUPPORTS, LLC NPI is 1184813107. The provider is registered as an organization entity type.

The provider's business location address is:

410 S 1ST ST STE 101
LOUISVILLE, KY
ZIP 40202-416
Phone: (502) 363-1700
Fax: (502) 363-1705

The provider's authorized official is Angelwand R Pointer .
The authorized official title is Office Manager and has the following contact phone number (502) 363-1700.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 6/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementKENTUCKYNo
2251E00000XHome HealthKENTUCKYNo
3251S00000XCommunity/Behavioral HealthKENTUCKYNo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenKENTUCKYNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesKENTUCKYNo
6251C00000XDay Training, Developmentally Disabled ServicesKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100029880MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.