The Village At Northrise-Desert Willow I
LBN: Peak Medical Assisted Living, Llc
The Village At Northrise-Desert Willow I is an health care organization with primary practice located at 2884 N Roadrunner Pkwy , Las Cruces NM 88011-0853. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Peak Medical Assisted Living, Llc can be contacted via phone (575) 522-1110, or through Berg, Michael via phone (505) 468-4752.
Contact Information
Primary practice address
2884 N Roadrunner Pkwy
Las Cruces NM 88011-0853
Phone: (575) 522-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 5788 | New Mexico |
| Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) | 311500000X | 5789 | New Mexico |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 5841 | New Mexico |
Profile Details
| NPI number | 1194772939 |
|---|---|
| LBN Legal business name | Peak Medical Assisted Living, Llc |
| DBA Doing business as | The Village At Northrise-Desert Willow I |
| Authorized official | Berg, Michael |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 27th, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194772939 | NPPES |
| New Mexico | Other | PROVA41670 | MOLINA |
| New Mexico | Other | M156 | MOLINA |
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