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NPI Code Detail

MEDICARE: MISSION PEAK HOLDINGS, LLC.

MEDICARE: MISSION PEAK HOLDINGS, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility
2314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1518817311
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSION PEAK HOLDINGS, LLC.
Provider Business Mailing Address
First Line : 735 SUNRISE AVE STE 100
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-4596
Country : US
Telephone Number : 916-212-0275
Fax Number :
Provider Business Practice Location Address
First Line : 6101 FAIR OAKS BLVD
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-4818
Country : US
Telephone Number : 916-212-0275
Fax Number :
Authorized Official
Title or Position : CO-FOUNDER
Name : DARRELL PRICE
Credential :
Telephone Number : 916-212-0275
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “MISSION PEAK HOLDINGS, LLC. ” Practice Location

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