Provider Demographics
NPI:1275823155
Name:PEAK RESOURCES-ALAMANCE, INC.
Entity Type:Organization
Organization Name:PEAK RESOURCES-ALAMANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-290-2722
Mailing Address - Street 1:101 BAINES CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6625
Mailing Address - Country:US
Mailing Address - Phone:919-290-2722
Mailing Address - Fax:919-290-2958
Practice Address - Street 1:215 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-2206
Practice Address - Country:US
Practice Address - Phone:363-228-8394
Practice Address - Fax:336-882-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0429314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3425337Medicaid
NC345337Medicare Oscar/Certification