NPIMap

Organization Active NPI

Peak Medical Home Care Inc.

  • Home Health Agency
  • Rockford, IL
National Provider Identifier
1063752590
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4000389 Issued in IL
Legal business name
PEAK MEDICAL HOME CARE INC.
Practice address
435 N Mulford Rd
Suite 7
Rockford, IL 61107-5189
Phone
(815) 398-1333
Fax
(815) 398-1361
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Lori Lynn Gould
Title
President
Phone
(815) 398-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4000389 IL Primary

Addresses

Primary practice location

435 N Mulford Rd
Suite 7
Rockford, IL 61107-5189

Mailing address

435 N Mulford Rd
Suite 7
Rockford, IL 61107-5189
Phone (815) 398-1333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1063752590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD",
            "address_2": "SUITE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075189",
            "telephone_number": "815-398-1333",
            "fax_number": "815-398-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD",
            "address_2": "SUITE 7",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075189",
            "telephone_number": "815-398-1333",
            "fax_number": "815-398-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-398-1333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "4000389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.