PEAK MEDICAL COLORADO NO. 3 LLC (NPI# 1346876612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346876612 |
Entity Type | Organization |
Organization Name | PEAK MEDICAL COLORADO NO. 3 LLC |
Practice Address |
150 Spring St Morrison CO 80465-2532 |
Practice Telephone | 3036978181 |
Mailing Telephone | 3036978181 |
Enumeration Date | 2020-03-19 |
Last Update Date | 2020-03-19 |
Authorized Official Name | MICHAEL THEODORE BERG (VP ASST SECRETARY) |
Authorized Official Telephone | 5054684742 |
Is Organization Subpart | Y |
Parent Organization Name | PEAK MEDICAL LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | MEDICARE | 065188 | 01 |
CO | SNF NPI | 1336189620 | 01 |
Other Name | Type Code |
---|---|
Bear Creek Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336189620 | Peak Medical Colorado No. 3 LLC | Respite Care | 150 Spring St, Morrison, CO 80465-2532 | 2006-06-07 |
1932152758 | Peak Medical Colorado No. 3 LLC | Respite Care | 1005 E Elizabeth St, Fort Collins, CO 80524-3911 | 2006-05-19 |
Street Address |
150 SPRING ST |
City | MORRISON |
State | CO |
Zip Code | 80465-2532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336189620 | Peak Medical Colorado No. 3 LLC | Respite Care | 150 Spring St, Morrison, CO 80465-2532 | 2006-06-07 |
1932763455 | Martin Rodriguez | Licensed Practical Nurse | 150 Spring St, Morrison, CO 80465-2532 | 2019-04-30 |
1306305917 | Cheryl Jones | Licensed Practical Nurse | 150 Spring St, Morrison, CO 80465-2532 | 2019-03-14 |
1093286569 | Anthony King | Licensed Practical Nurse | 150 Spring St, Morrison, CO 80465-2532 | 2018-12-10 |
1154807055 | Co Pacs 2 PC | Physician Assistant | 150 Spring St, Morrison, CO 80465-2532 | 2018-07-13 |
1730555376 | Holly Morrison | Physical Therapist | 150 Spring St, Morrison, CO 80465-2532 | 2015-08-18 |
1811390727 | Alaine Nicole Smeltzer | Student in an Organized Health Care Education/Training Program | 150 Spring St, Morrison, CO 80465-2532 | 2014-10-06 |
1619214673 | Britta Nealon | Occupational Therapist | 150 Spring St, Morrison, CO 80465-2532 | 2013-01-10 |
1184969263 | Wendy Diane Garey | Physical Therapist | 150 Spring St, Morrison, CO 80465-2532 | 2012-11-30 |
1588909626 | Lynsey Curry | Speech-Language Pathologist | 150 Spring St, Morrison, CO 80465-2532 | 2012-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295392579 | Cara Cohn | Physician Assistant | 16035 Ridge Tee Dr, Street Address 2 Apartment Or Suite Number, Morrison, CO 80465 | 2019-05-22 |
1952731721 | Caitlin Schmees | Speech-Language Pathologist | 150 Spring St., Morrison, CO 80465 | 2013-11-15 |
1306108717 | J. Christin Jones | Counselor | 6476 High Dr, Morrison, CO 80465 | 2012-06-12 |
1053679936 | Michael Mirick Whittington | Registered Nurse | 6555 High Circle, Morrison, CO 80465 | 2012-04-27 |
1205065141 | Laurie Lynn Kovaleski | Occupational Therapist | 150 Spring Street Rd, Bear Creek Nursing Care and Rehabilitation, Morrison, CO 80465 | 2009-07-14 |
1629222393 | Vigilant Anesthesia Providers of The Rockies, PC | Anesthesiology | 181 Red Rocks Vista Lane, Morrison, CO 80465 | 2008-11-07 |
1285822668 | Ravinder Hunjan | Occupational Therapist | 150 Spring Street, Morrison, CO 80465 | 2007-10-10 |
1629147681 | Sam B Richey | Dentist | 3926 W. 13400 S., Riverton, UT 80465 | 2006-11-06 |
1700892437 | Laura Sullivan | Internal Medicine | 7316 S. Settler Dr., Morrison, CO 80465 | 2006-08-01 |
1881653970 | Elizabeth E Roth | Chiropractor | 17627 Tycoon Ave, Morrison, CO 80465 | 2006-03-20 |
Find all providers in zip 80465 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336189620 | Peak Medical Colorado No. 3 LLC | Respite Care | 150 Spring St, Morrison, CO 80465-2532 | 2006-06-07 |
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1275024739 | Ssc Palisade Operating Company LLC | Respite Care | 151 E 3rd Street, Palisade, CO 81526 | 2018-05-21 |
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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.