Provider Demographics
NPI:1598517328
Name:NEW PEAK HOME CARE
Entity Type:Organization
Organization Name:NEW PEAK HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAJIA
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-444-9836
Mailing Address - Street 1:2200 HUNT ST # 1021
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-5605
Mailing Address - Country:US
Mailing Address - Phone:734-304-2522
Mailing Address - Fax:
Practice Address - Street 1:34705 AQUA LN
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-3642
Practice Address - Country:US
Practice Address - Phone:734-304-2522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health