PEAK COMMUNITY SERVICES INC. NPI 1316260441

NPI Information

NPI: 1316260441
Provider Name: PEAK COMMUNITY SERVICES INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 15D0907250

Address:
1625 HIGH ST
LOGANSPORT, IN
ZIP 46947
Phone: (574) 753-4104
Get Directions

PEAK COMMUNITY SERVICES INC. is a residential treatment facility, intellectual and/or developmental disabilities in Logansport, IN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PEAK COMMUNITY SERVICES INC. NPI is 1316260441. The provider is registered as an organization entity type.

The provider's business location address is:

1625 HIGH ST
LOGANSPORT, IN
ZIP 46947-863
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 CLIA number assigned to this NPI record is 15D0907250 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 2/9/2015.

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	320600000X	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	100235360	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

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