JOHNSON ASSISTED LIVING HOME, INC.
NPI 1003273053
Assisted Living Facility in Pueblo, CO

Q: What is Villa Grove Assisted Living Home's NPI number?

The NPI number for Villa Grove Assisted Living Home is 1003273053. It was assigned to this organization in the NPPES registry on January 21, 2016. The provider is doing business as Johnson Assisted Living Home, Inc..

Q: What is Villa Grove Assisted Living Home's specialty?

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

Active since January 21, 2016

715 E B ST, PUEBLO, CO 81003(719) 544-1561(719) 542-6539 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Johnson Assisted Living Home, Inc. NPPES

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

JOHNSON ASSISTED LIVING HOME, INC. (NPI 1003273053) is a healthcare organization registered as an assisted living facility in Pueblo, Colorado and active in the NPI registry since January 2016. The organization lists Paul Spicola, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1003273053

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameVILLA GROVE ASSISTED LIVING HOME

Location Address715 E B STPueblo, CO 81003-3504

Mailing Address715 E B StPueblo, CO 81003-3504 · (719) 544-1561 · Fax (719) 542-6539

Phone(719) 544-1561

Fax(719) 542-6539

Organization SubpartNo

Authorized OfficialPaul SpicolaVice-president · (719) 369-4567

Enumeration DateJanuary 21, 2016

✔ NPI 1003273053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CO · 23W276

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.

715 E B ST, Pueblo, CO 81003

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Other Names 1

Doing Business AsJohnson Assisted Living Home, Inc.

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 Villa Grove Assisted Living Home's NPI number?

The NPI number for Villa Grove Assisted Living Home is 1003273053. It was assigned to this organization in the NPPES registry on January 21, 2016. The provider is doing business as Johnson Assisted Living Home, Inc..

Where is Villa Grove Assisted Living Home located?

Villa Grove Assisted Living Home is located at 715 E B St, Pueblo, CO 81003. The listed phone number is (719) 544-1561.

What is Villa Grove Assisted Living Home'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 Villa Grove Assisted Living Home was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.