OrganizationActive
Peachtree Village
NPI 1750502886 · Assisted Living Facility · Roswell, NM
Peachtree Village is a Assisted Living Facility organization in Roswell, NM (NPI 1750502886).
Provider details
- NPI number
- 1750502886
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Harder, Ceo President(503) 485-8697
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 West Country Club Road
Roswell, NM 88201
Phone: (503) 485-8697
Fax: (503) 485-1279
Street-level locationGet directions
Mailing address
Po Box 3006
Salem, OR 97302
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Peachtree Village's NPI number?
- Peachtree Village's National Provider Identifier (NPI) is 1750502886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peachtree Village?
- Peachtree Village is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Peachtree Village located?
- Peachtree Village's practice location on file with NPPES is 1301 West Country Club Road, Roswell, NM 88201.
- What is Peachtree Village's phone number?
- The practice phone number listed in the NPPES registry for Peachtree Village is (503) 485-8697.
- Who is the authorized official for Peachtree Village?
- The authorized official listed on Peachtree Village's NPPES record is Jon Harder, Ceo President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peachtree Village's NPI active?
- Yes — Peachtree Village's NPI (1750502886) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.