Active NPI
Peak Specialty Group
- Home Health Agency
- Salt Lake City, UT
National Provider Identifier
1851686166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PEAK SPECIALTY GROUP
- Practice address
- 1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383 - Phone
- (801) 904-2340
- NPI assigned
- Jun 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Hartman
- Title
- Owner Administrator
- Phone
- (801) 904-2340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383
Mailing address
1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383
Phone (801) 904-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851686166 | Medicaid | UT |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1851686166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E 3900 S STE 4D",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241383",
"telephone_number": "801-904-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E 3900 S STE 4D",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241383",
"telephone_number": "801-904-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK SPECIALTY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-14",
"last_updated": "2012-10-19",
"status": "A",
"authorized_official_last_name": "HARTMAN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER ADMINISTRATOR",
"authorized_official_telephone_number": "801-904-2340"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851686166",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.