NPIMap

Organization Active NPI

Peak Medical Colorado No. 2, Inc.

  • Respite Care
  • Pueblo, CO
National Provider Identifier
1245802677
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
PEAK MEDICAL COLORADO NO. 2, INC.
Practice address
2611 Jones Ave
Pueblo, CO 81004-2650
Phone
(719) 564-1735
Fax
(719) 564-1735
NPI assigned
Jul 14, 2021
Organization subpart
Yes
Parent organization
PEAK MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Michael Theodore Berg
Title
Corp Officer
Phone
(505) 468-4742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

2611 Jones Ave
Pueblo, CO 81004-2650

Mailing address

2611 Jones Ave
Pueblo, CO 81004-2650
Phone (719) 564-1735

Other names 1

  • PUEBLO CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peak Medical Colorado No 2 Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1245802677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 JONES AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042650",
            "telephone_number": "719-564-1735",
            "fax_number": "719-564-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 JONES AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042650",
            "telephone_number": "719-564-1735",
            "fax_number": "719-564-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL COLORADO NO. 2, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK MEDICAL LLC",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CORP OFFICER",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUEBLO CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.