Provider Demographics
NPI:1336612530
Name:PEAK RESOURCES - BROOKSHIRE, INC
Entity Type:Organization
Organization Name:PEAK RESOURCES - BROOKSHIRE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO / SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
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:
Practice Address - Street 1:300 MEADOWLANDS DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8502
Practice Address - Country:US
Practice Address - Phone:919-644-6714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility