Provider Demographics
NPI:1487278537
Name:PEAKS OF HOPE HOME HEALTH, LLC
Entity type:Organization
Organization Name:PEAKS OF HOPE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR/RN
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LIVENGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-371-0910
Mailing Address - Street 1:1661 COUNTY ROAD 170
Mailing Address - Street 2:
Mailing Address - City:WESTCLIFFE
Mailing Address - State:CO
Mailing Address - Zip Code:81252-9168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1661 COUNTY ROAD 170
Practice Address - Street 2:
Practice Address - City:WESTCLIFFE
Practice Address - State:CO
Practice Address - Zip Code:81252-9168
Practice Address - Country:US
Practice Address - Phone:719-371-0910
Practice Address - Fax:888-898-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health