PEAK MEDICAL COLORADO NO. 2, LLC (NPI# 1720038854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720038854 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL COLORADO NO. 2, LLC |
| Other Organization Name | MESA MANOR CENTER |
| Practice Address |
2901 N 12th St Grand Junction CO 81506-2811 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 9702437211 |
| Practice Fax Number | 9702455104 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | MICHAEL T BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5058213355 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | CO | Respite Care Facility | |
| Y | 314000000X | Skilled Nursing Facility | 0478 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 26837081 | 05 | |
| CO | 46279865 | 05 |
| Other Name | Type Code |
|---|---|
| Mesa Manor Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104870542 | Peak Medical Colorado No. 2, LLC | Respite Care | 835 Tenderfoot Hill Rd, Colorado Springs, CO 80906-3903 | 2006-05-20 |
| 1598719312 | Peak Medical Colorado No. 2, LLC | Respite Care | 2611 Jones Ave, Pueblo, CO 81004-2650 | 2006-05-19 |
| 1386698173 | Peak Medical Colorado No. 2, LLC | Respite Care | 2719 N Union Blvd, Colorado Springs, CO 80909-1145 | 2006-05-19 |
| Street Address |
2901 N 12TH ST |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078058 | John William Bull | Dentist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2005-10-27 |
| 1770138711 | Ashley Zimmerman | Occupational Therapist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2019-08-06 |
| 1659842722 | Luke Kasse Phillips | Physical Therapist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2018-12-16 |
| 1225403991 | John W Bull Dds | Dentist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2015-12-07 |
| 1699144600 | Rogan Adams | Physical Therapist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2015-09-20 |
| 1295073278 | Cailin Portra | Occupational Therapist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1780235234 | Snh Co Tenant LLC | Skilled Nursing Facility | 2501 Little Bookcliff Drive, Grand Junction, CO 81501-8802 | 2019-09-26 |
| 1750837951 | The Center At Foresight, LLC | Skilled Nursing Facility | 606 E. Foresight Circle, Grand Junction, CO 81505-1012 | 2016-08-28 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1942391875 | Eagle Ridge Operating Company, LLC | Skilled Nursing Facility | 2425 Teller Ave, Grand Junction, CO 81501-5141 | 2006-09-27 |
| 1922054956 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2825 Patterson Rd, Grand Junction, CO 81506-6065 | 2006-05-25 |
| 1366497349 | Five Star Quality Care-colorado LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2006-05-24 |
| 1366443350 | Larchwood Inns Inc | Skilled Nursing Facility | 2845 N 15th St, Grand Junction, CO 81506-5219 | 2005-08-02 |
| 1659913267 | Colorado River Nursing and Rehab Center, LLC | Skilled Nursing Facility | 2501 Little Bookcliff Dr, Grand Junction, CO 81501-8802 | 2019-10-15 |
| 1205478815 | Grand Junction Nursing and Rehab Center, LLC | Skilled Nursing Facility | 2825 Patterson Rd, Grand Junction, CO 81506-6065 | 2019-10-15 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on PEAK MEDICAL COLORADO NO. 2, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.