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Peak Community Services Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Winamac, IN

NPI 1679896708 · NPPES record last updated Feb 10, 2015

Key facts

NPI
1679896708
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
PEAK COMMUNITY SERVICES INC.
Practice address
1104 S US Highway 35
Winamac, IN 46996-7746
Phone
(574) 753-4104
Fax
(574) 753-9861
NPI assigned
Mar 3, 2010
Organization subpart
No

Authorized official

Name
Nicki Gunter
Title
Cfo
Phone
(574) 753-4104

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
Peak Community Services Inc (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IN Yes

Addresses

Primary practice location

1104 S US Highway 35
Winamac, IN 46996-7746

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
100229270BMedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2015.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1679896708",
    "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": "1104 S US HIGHWAY 35",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469967746",
            "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": "2015-02-10",
        "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"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229270B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winamac, IN

All providers in Winamac, IN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

Sources for this page

Verify at the official NPI Registry.