PEAK MEDICAL ASSISTED LIVING, LLC
Assisted Living Facility
Las Cruces, New Mexico
Provider NPI: 1194772939
Organization Information:Organization Name: PEAK MEDICAL ASSISTED LIVING, LLC
Practice Location:
2884 N ROADRUNNER PKWY LAS CRUCES, NM 88011 US
Tel: 575-522-1110 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2884 N ROADRUNNER PKWY LAS CRUCES, NM 88011 US
Tel: 575-522-1110 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NM | 5788 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NM | 5789 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NM | 5841 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC/BS OF NM | M156 | NM | 01 |
MOLINA | PROVA41670 | NM | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin