# PEAK MEDICAL LAS CRUCES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEAK MEDICAL, LLC
- **Other names:** Casa Del Sol Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164476008
- **Legal business name:** PEAK MEDICAL, LLC
- **Authorized official:** MICHAEL BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
- **Practice address phone:** (575) 522-0404
- **Mailing address:** 2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
- **Mailing address phone:** (575) 522-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 1032 | NM | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 12/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00NM00M059 | BC/BS OF NM | NM |
| 01 | — | 32922 | PRES SALUD | NM |
| 05 | — | 72952032 | — | NM |