Healthcare Provider Details

I. General information

NPI: 1962299982
Provider Name (Legal Business Name): PEAK JOURNEYS DISABILITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 COUNTRY VISTAS WAY
PEYTON CO
80831-8383
US

IV. Provider business mailing address

9715 COUNTRY VISTAS WAY
PEYTON CO
80831-8383
US

V. Phone/Fax

Practice location:
  • Phone: 719-639-8396
  • Fax:
Mailing address:
  • Phone: 719-368-1246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY RANDALL
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: RN
Phone: 719-639-8396