PEAK MEDICAL COLORADO NO. 2, LLC


Address: 2611 Jones Ave, Pueblo, CO 81004-2650
Phone: 7195641735

PEAK MEDICAL COLORADO NO. 2, LLC (NPI# 1598719312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598719312
Entity Type Organization
Organization Name PEAK MEDICAL COLORADO NO. 2, LLC
Other Organization Name PUEBLO CARE AND REHABILITATION CENTER
Practice Address 2611 Jones Ave
Pueblo
CO 81004-2650
Mailing Address 101 Sun Ave Ne
Compliance Department
Albuquerque
NM 87109-4373
Practice Telephone 7195641735
Practice Fax Number 7195641501
Mailing Telephone 5054685604
Mailing Fax Number 5054684681
Enumeration Date 2006-05-19
Last Update Date 2019-03-28
Authorized Official Name MICHAEL T. BERG (VP ASSISTANT SECRETARY)
Authorized Official Telephone 5054684742
Is Organization Subpart Y
Parent Organization Name SUNBRIDGE HEALTHCARE LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 385H00000X Respite Care CO Respite Care Facility
Y 314000000X Skilled Nursing Facility 0485 CO Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 60052279 05

Other Provider/Organization Names

Other Name Type Code
Pueblo Care and Rehabilitation Center Doing Business As Name - Organization
Pueblo Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104870542 Peak Medical Colorado No. 2, LLC Respite Care 835 Tenderfoot Hill Rd, Colorado Springs, CO 80906-3903 2006-05-20
1386698173 Peak Medical Colorado No. 2, LLC Respite Care 2719 N Union Blvd, Colorado Springs, CO 80909-1145 2006-05-19
1720038854 Peak Medical Colorado No. 2, LLC Respite Care 2901 N 12th St, Grand Junction, CO 81506-2811 2006-05-11

Office Location

Street Address 2611 JONES AVE
City PUEBLO
State CO
Zip Code 81004-2650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952918112 John Zachary Merchant Physical Therapy Assistant 2611 Jones Ave, Pueblo, CO 81004-2650 2020-09-30
1588282487 Amanda Lamberti Speech-Language Pathologist 2611 Jones Ave, Pueblo, CO 81004-2650 2020-07-08
1629627021 Emma Match Speech-Language Pathologist 2611 Jones Ave, Pueblo, CO 81004-2650 2019-09-09
1285116004 Stephanie Rae Dionisio Occupational Therapy Assistant 2611 Jones Ave, Pueblo, CO 81004-2650 2018-08-29
1528567245 Lawrence Beller Occupational Therapy Assistant 2611 Jones Ave, Pueblo, CO 81004-2650 2018-02-08
1174036784 Kayla Ann Fisher Occupational Therapy Assistant 2611 Jones Ave, Pueblo, CO 81004-2650 2017-11-06
1609304831 Morgan Cooper Speech-Language Pathologist 2611 Jones Ave, Pueblo, CO 81004 2017-06-01
1811422876 Betty Woodside Physical Therapy Assistant 2611 Jones Ave, Pueblo, CO 81004-2650 2017-04-27
1184014656 Joan Gallagher Speech-Language Pathologist 2611 Jones Ave, Pueblo, CO 81004-2650 2015-02-04
1891128757 Selena Lea Gonzales Occupational Therapy Assistant 2611 Jones Ave, Pueblo, CO 81004-2650 2013-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1053895532 Rebecka Ann Reatherford Nurse Practitioner St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 2018-09-20
1124510821 Angela M Sillas-green Counselor 327 Colorado Ave., Pueblo, CO 81004 2018-05-30
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1578098752 James Williams Counselor 414 Broadway Ave, Pueblo, CO 81004 2017-04-26
1740732601 Valerie A Senger Counselor 635 W Corona Ave Ste 214, Pueblo, CO 81004 2016-10-26
1194111500 A New Leaf Therapy, Pllc Community/Behavioral Health 327 Colorado Ave, Pueblo, CO 81004 2015-04-13
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1730593112 Maritza Martinez Registered Nurse 1026 Wabriendo Ave, Pueblo, CO 81004 2014-06-13
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407211931 Center At Park West, LLC Skilled Nursing Facility 3727 Parker Blvd., Pueblo, CO 81008 2015-12-29
1194148940 Rose Marie Javornik Skilled Nursing Facility 5601 Verde Rd, Pueblo, CO 81004-9735 2014-01-30
1366881237 Wsi Personel Skilled Nursing Facility 2610 Hollywood Dr, Pueblo, CO 81005-3313 2013-06-24
1588954598 Mariah Lynn Mikulas Skilled Nursing Facility 2724 Franklin Ave, Pueblo, CO 81003-1330 2011-04-11
1891882957 South Pueblo Medical Investors, LLC Skilled Nursing Facility 2118 Chatalet Ln, Pueblo, CO 81005-4625 2006-10-09
1265537591 Continuum At Sharmar, Inc. Skilled Nursing Facility 1201 W Abriendo Ave, Pueblo, CO 81004-1003 2006-09-13
1861508822 Catholic Health Initiatives Colorado Skilled Nursing Facility 1111 Bonforte Blvd, Pueblo, CO 81001-1801 2006-08-22
1922000371 Pitman Place, LLC Skilled Nursing Facility 1610 Scranton Ave, Pueblo, CO 81004-2676 2005-08-15
1619978426 Pitman Place, LLC Skilled Nursing Facility 2515 Pitman Pl, Pueblo, CO 81004-2633 2005-08-02
1801418256 Center At Park West, LLC Skilled Nursing Facility St. Mary Corwin Medical Center, 1008 Minnequa Avenue, Pueblo, CO 81004 2020-05-08
Find all providers in PUEBLO

Competitor

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City PUEBLO
Zip Code 81004

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Dataset Information

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.

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