Peak Medical Colorado No. 3 LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020367 Issued in CO

Legal business name

PEAK MEDICAL COLORADO NO. 3 LLC

Doing business as

Golden Peaks Center

Practice address

1005 E Elizabeth St
Fort Collins, CO 80524-3911

Phone

(970) 482-2525

NPI assigned

May 19, 2006

Last updated

Jul 8, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PEAK MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Golden Peaks Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
  • NPI 1982651758

  Member Of

  NPD member

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.

• Peak Medical Inc.

  • Certified Registered Nurse Anesthetist
  • Lakewood, CO
  • NPI 1760671796
  NPPES parent name

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1932152758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243911",
            "telephone_number": "970-482-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243911",
            "telephone_number": "970-482-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL COLORADO NO. 3 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK MEDICAL LLC",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BC/CS",
            "identifier": "63718",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01404849",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "669471",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Peaks Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Peaks Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peak & Bounds Incorporated
• Peak Clarity LLC
• Peak Community Services, Inc.
• Peak Family Dental Inc.
• Peak Medical Colorado No. 3 LLC (Golden Peaks Center)
• Peak Pelvic Therapy, Inc.
• Peak Performance Chiropractic and Wellness Center, LLC (Peak Performance Chiropractic and Wellness Center)
• Anita Lynne Peakes
• Riley Grady Pearce
• Pearle Vision Inc (Pearle Vision #C6538)

• Skilled Nursing Facility in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.