1. Home
  2. Directory
  3. New Mexico
  4. Roswell
  5. Assisted Living Facility
  6. NPI Profile

PEACHTREE VILLAGE
NPI 1750502886
Assisted Living Facility in Roswell, NM

Active since May 02, 2007
1301 WEST COUNTRY CLUB ROAD, ROSWELL, NM 88201(503) 485-8697(503) 485-1279 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACHTREE VILLAGE (NPI 1750502886) is a healthcare organization registered as an assisted living facility in Roswell, New Mexico and active in the NPI registry since May 2007. The organization lists Jon Harder, Ceo President, as its authorized official.

NPPES Registry Identity

NPI1750502886
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePEACHTREE VILLAGE
Location Address1301 WEST COUNTRY CLUB ROADRoswell, NM 88201
Mailing AddressPo Box 3006Salem, OR 97302 · (503) 485-8697 · Fax (503) 485-1279
Phone(503) 485-8697
Fax(503) 485-1279
Organization SubpartNo
Authorized OfficialJon HarderCeo President · (503) 485-8697
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750502886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1301 WEST COUNTRY CLUB ROAD, Roswell, NM 88201
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peachtree Village's NPI number?

The NPI number for Peachtree Village is 1750502886. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Peachtree Village located?

Peachtree Village is located at 1301 West Country Club Road, Roswell, NM 88201. The listed phone number is (503) 485-8697.

What is Peachtree Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Peachtree Village was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.