PEAK COMMUNITY SERVICES INC. NPI 1679896708

NPI Information

NPI: 1679896708
Provider Name: PEAK COMMUNITY SERVICES INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1104 S US HIGHWAY 35
WINAMAC, IN
ZIP 46996
Phone: (574) 753-4104
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PEAK COMMUNITY SERVICES INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Winamac, IN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PEAK COMMUNITY SERVICES INC. NPI is 1679896708. The provider is registered as an organization entity type.

The provider's business location address is:

1104 S US HIGHWAY 35
WINAMAC, IN
ZIP 46996-746
Phone: (574) 753-4104
Fax: (574) 753-9861

The provider's authorized official is Nicki Gunter .
The authorized official title is Cfo and has the following contact phone number (574) 753-4104.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 2/10/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100229270B	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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