Organization Active NPI

Peak Specialty Group

  • Home Health Agency
  • Salt Lake City, UT
National Provider Identifier
1851686166
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 19, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1851686166MedicaidUT

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.