Organization Active NPI

Peak Moments Inc.

  • In Home Supportive Care Agency
  • Boise, ID
National Provider Identifier
1609430446
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEAK MOMENTS INC.
Practice address
800 W Main St Ste 1460
Boise, ID 83702-5983
Phone
(208) 944-9650
Fax
(208) 960-7108
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Ragan Dickson
Title
Partner/Board Member
Phone
(208) 944-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

800 W Main St Ste 1460
Boise, ID 83702-5983

Mailing address

800 W Main St Ste 1460
Boise, ID 83702-5983
Phone (208) 944-9650

Other names 1

  • Peak Moments Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1609430446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 1460",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025983",
            "telephone_number": "208-944-9650",
            "fax_number": "208-960-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 1460",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025983",
            "telephone_number": "208-944-9650",
            "fax_number": "208-960-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MOMENTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "RAGAN",
        "authorized_official_title_or_position": "PARTNER/BOARD MEMBER",
        "authorized_official_telephone_number": "208-944-9650"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Moments Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.