PEAK MEDICAL LAS CRUCES NO. 2, LLC (NPI# 1295780146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295780146 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL LAS CRUCES NO. 2, LLC |
| Other Organization Name | CASA DE ORO CENTER |
| Practice Address |
1005 Lujan Hill Rd Las Cruces NM 88007-6304 |
| Practice Telephone | 5755234573 |
| Mailing Telephone | 5755234573 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-02-03 |
| 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 | 311500000X | Alzheimer Center (Dementia Center) | 1031 | NM | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 1031 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | CIGNA | 0586122 | 01 |
| NM | LOVELACE SALUD | 10003570 | 01 |
| NM | PRES SALUD | 17214 | 01 |
| NM | MOLINA SALUD | PROVA41094 | 01 |
| NM | 59602295 | 05 | |
| NM | BC/BS OF NM | 00NM01M532 | 01 |
| Other Name | Type Code |
|---|---|
| Casa De Oro Center | Doing Business As Name - Organization |
| Street Address |
1005 LUJAN HILL RD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227262 | Joann Peterson | Licensed Vocational Nurse | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2020-02-13 |
| 1326550575 | Christopher David Brown | Physical Medicine & Rehabilitation | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2017-10-27 |
| 1538530019 | Brian Mcconnell | Speech-Language Pathologist | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2015-10-09 |
| 1598134314 | Cynthia Maria Stinnett | Physical Therapy Assistant | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2015-09-22 |
| 1518349653 | Cindy Sinclair | Specialist | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2015-06-25 |
| 1780081091 | Julie Zelenock | Physical Therapist | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2014-12-02 |
| 1568661205 | Menalyn Balancio Jabonete | Physical Therapist | 1005 Lujan Hill Rd, Las Cruces, NM 88007-6304 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| 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 | 88007 |
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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.