PEAK MEDICAL ASSISTED LIVING, LLC (NPI# 1194772939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194772939 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL ASSISTED LIVING, LLC |
| Other Organization Name | THE VILLAGE AT NORTHRISE-DESERT WILLOW I |
| Practice Address |
2884 N Roadrunner Pkwy Las Cruces NM 88011-0853 |
| Practice Telephone | 5755221110 |
| Mailing Telephone | 5755221110 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | MICHAEL BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEAK MEDICAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 5788 | NM | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 5789 | NM | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 5841 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BC/BS OF NM | M156 | 01 |
| NM | MOLINA | PROVA41670 | 01 |
| Other Name | Type Code |
|---|---|
| The Village at Northrise-Desert Willow I | Doing Business As Name - Organization |
| Street Address |
2884 N ROADRUNNER PKWY |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-0853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902433493 | Kaitlyn Mae Hallwyler | Social Worker | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2020-03-24 |
| 1548755267 | Clarisse Grijalva | Occupational Therapy Assistant | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2018-06-25 |
| 1841650793 | Araceli Moncayo | Occupational Therapy Assistant | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2016-03-03 |
| 1306205901 | Michael Mccague IIi | Occupational Therapist | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2016-02-11 |
| 1235531484 | Chad Foster | Occupational Therapist | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2014-09-18 |
| 1891118741 | Marygrace Artillaga | Physical Therapist | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134216328 | Thi of New Mexico At Las Cruces, LLC | Skilled Nursing Facility | 2029 Sagecrest Ave, Las Cruces, NM 88011-8044 | 2006-10-07 |
| 1164476008 | Peak Medical Las Cruces, LLC | Skilled Nursing Facility | 2905 Missouri Ave, Las Cruces, NM 88011-4813 | 2006-05-22 |
| 1972133924 | Calibre Post Acute LLC | Skilled Nursing Facility | 2029 Sagecrest Ave, Las Cruces, NM 88011-8044 | 2020-01-17 |
| 1629551593 | Las Cruces Care Holdings LLC | Skilled Nursing Facility | 2029 Sagecrest Ave, Las Cruces, NM 88011-8044 | 2018-09-07 |
| 1003280199 | Welbrook Senior Living Las Cruces LLC | Skilled Nursing Facility | 151 N Roadrunner Pkwy, Las Cruces, NM 88011-7019 | 2015-11-30 |
| 1467746057 | Pinnacle Health Facilities Xxxiii Lp | Skilled Nursing Facility | 2029 Sagecrest Ave, Las Cruces, NM 88011-8044 | 2011-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290623 | Michael P. Clements Md | Skilled Nursing Facility | 1096 Mechem Dr Ste G05, Ruidoso, NM 88345-7057 | 2019-11-22 |
| 1619447554 | Albuquerque Operations LLC | Skilled Nursing Facility | 8820 Horizon Blvd Ne # Na, Albuquerque, NM 87113-1689 | 2018-12-04 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1164917712 | Welbrook Senior Living Farmington LLC | Skilled Nursing Facility | 201 Nelson Ave, Farmington, NM 87401-3375 | 2018-06-26 |
| 1821536087 | Renaissance Health Care LLC | Skilled Nursing Facility | 1610 N Renaissance Blvd Ne, Albuquerque, NM 87107-7047 | 2017-02-08 |
| 1609231448 | The Neighborhood In Rio Rancho | Skilled Nursing Facility | 900 Loma Colorado Blvd Ne, Rio Rancho, NM 87124-6511 | 2015-12-21 |
| 1720477847 | Julie Salcido | Skilled Nursing Facility | 9126 Seaside Rd Nw, Albuquerque, NM 87121-1939 | 2015-01-13 |
| 1003205188 | Brian Walker | Skilled Nursing Facility | 10101 Lgrma Oro Rd Ne, Albuquerque, NM 87111-6022 | 2015-01-13 |
| 1043615925 | Shiloh Home Health Inc | Skilled Nursing Facility | 4301 Largo St Ste A, Farmington, NM 87402-8629 | 2014-11-04 |
| 1619390333 | Rehab Suites At Las Estancias LLC | Skilled Nursing Facility | 3620 Las Estancias Drive Sw, Albuquerque, NM 87105 | 2014-01-31 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.