Peak Medical of Boise LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

47 Issued in ID

Legal business name

PEAK MEDICAL OF BOISE LLC

Doing business as

Apex Center

Practice address

8211 W Ustick Rd
Boise, ID 83704-5756

Phone

(208) 375-3700

Fax

(208) 375-3760

NPI assigned

Jun 1, 2006

Organization subpart

Yes

Parent organization

PEAK MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Apex Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  • Skilled Nursing Facility
  • Tuscumbia, AL
  • NPI 1285685362

  Member Of

  NPD member

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1194762815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045756",
            "telephone_number": "208-375-3700",
            "fax_number": "208-375-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045756",
            "telephone_number": "208-375-3700",
            "fax_number": "208-375-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL OF BOISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK MEDICAL LLC",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010136091",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04036",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805350300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peace Valley Charter School
• Peaceful Mind Psychiatry
• Dana M Peachey, NP
• Destiny Faith Peacock
• Elizabeth Peacock, MD, PHD
• Peak Moments Inc.
• Peak Physical Therapy P C
• Paige Ann Marie Pearce
• Holly Ann Pearl
• Allyson Pearson, DPT

• Skilled Nursing Facility in Boise, ID
• Providers in Boise, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.