NPIMap

Organization Active NPI

Peak Community Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Logansport, IN
National Provider Identifier
1154644276
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
1141 19TH St
Logansport, IN 46947-4507
Phone
(574) 753-4104
Fax
(574) 753-9861
NPI assigned
Mar 3, 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
Ms. 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

1141 19TH St
Logansport, IN 46947-4507

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100235380MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154644276. Details of each certification follow.

  • CCN 15G626 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 15G626

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PEAK COMMUNITY SERVICES INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 15, 1992
Last certification
Oct 28, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
1141 19TH St
Logansport, IN 46947

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.

Locations

1141 19th St
Logansport, IN 46947
Phone (574) 753-4104

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1154644276",
    "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": "1141 19TH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469474507",
            "telephone_number": "574-753-4104",
            "fax_number": "574-753-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "100235380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.