PEAK MEDICAL FARMINGTON, LLC (NPI# 1942255880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942255880 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL FARMINGTON, LLC |
| Other Organization Name | SAN JUAN CENTER |
| Practice Address |
806 W Maple St Farmington NM 87401-5631 |
| Practice Telephone | 5053252910 |
| Mailing Telephone | 5053252910 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-03-17 |
| 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 |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1042 | NM | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 11802260 | 05 |
| Other Name | Type Code |
|---|---|
| San Juan Center | Doing Business As Name - Organization |
| Street Address |
806 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649801515 | Jennifer Elizabeth Kump | Occupational Therapist | 806 W Maple St, Farmington, NM 87401-5631 | 2020-01-30 |
| 1831747856 | Neal Mcpherson | Speech-Language Pathologist | 806 W Maple St, Farmington, NM 87401-5631 | 2019-09-03 |
| 1902342348 | Justin Booker | Occupational Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2017-01-09 |
| 1922464866 | Kenneth Jung | Physical Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2016-01-07 |
| 1174989024 | Mary Hill | Physical Therapist | 806 W Maple St, Farmington, NM 87401-5631 | 2016-01-07 |
| 1407239445 | Geps Physician Group of New Mexico, PC | Internal Medicine | 806 W Maple St, Farmington, NM 87401-5631 | 2015-07-08 |
| 1801225685 | Cassandra Wald | Occupational Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2013-11-02 |
| 1760761605 | Joseph Narciso | Physical Therapist | 806 W Maple St, Farmington, NM 87401-5631 | 2011-08-10 |
| 1316230691 | Joanne Enriquez | Occupational Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1164917712 | Welbrook Senior Living Farmington LLC | Skilled Nursing Facility | 201 Nelson Ave, Farmington, NM 87401-3375 | 2018-06-26 |
| 1881110542 | Paige Elizabeth Pachucki | Skilled Nursing Facility | 23026 E Ryer Dr, Farmington, IL 61531-9329 | 2017-08-15 |
| 1043615925 | Shiloh Home Health Inc | Skilled Nursing Facility | 4301 Largo St Ste A, Farmington, NM 87402-8629 | 2014-11-04 |
| 1942362116 | North Country Associates, Inc | Skilled Nursing Facility | 107 Orchard St, Farmington, ME 04938-5962 | 2006-12-14 |
| 1043370273 | North Country Associates, Inc | Skilled Nursing Facility | 221 Fairbanks Rd, Farmington, ME 04938-5723 | 2006-12-11 |
| 1356409767 | Farmington Care Center LLC | Skilled Nursing Facility | 20 Scott Swamp Rd, Farmington, CT 06032-2825 | 2006-12-05 |
| 1578674404 | Presbyterian Manors, Inc. | Skilled Nursing Facility | 500 Cayce St, Farmington, MO 63640-2910 | 2006-08-31 |
| 1760422596 | Farmington Operations LLC | Skilled Nursing Facility | 1101 W Murray Dr, Farmington, NM 87401-3845 | 2006-06-08 |
| 1336194612 | Five Star Quality Care-mi LLC | Skilled Nursing Facility | 34225 Grand River Ave, Farmington, MI 48335-3440 | 2006-05-24 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.