NPIMap

Organization Active NPI

Peak Community Services Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winamac, IN
National Provider Identifier
1063735330
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PEAK COMMUNITY SERVICES INC.
Practice address
324 W Main St
Winamac, IN 46996-1205
Phone
(574) 753-4104
Fax
(574) 753-9861
NPI assigned
Mar 1, 2010
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicki Gunter
Title
Cfo
Phone
(574) 753-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X IN Primary

Addresses

Primary practice location

324 W Main St
Winamac, IN 46996-1205

Mailing address

1416 Woodlawn Ave
Logansport, IN 46947-4456
Phone (574) 753-4104

Other identifiers 1

IdentifierTypeStateIssuer
100235310MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Peak Community Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1063735330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 WOODLAWN AVE",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469474456",
            "telephone_number": "574-753-4104",
            "fax_number": "574-753-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961205",
            "telephone_number": "574-753-4104",
            "fax_number": "574-753-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "574-753-4104"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winamac, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.