PUEBLO REGIONAL CENTER
NPI 1184163602
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pueblo, CO
- Organization
- Community Based Residential Treatment Fa...
About PUEBLO REGIONAL CENTER
This page provides the complete NPI Profile along with additional information for Pueblo Regional Center, a provider established in Pueblo, Colorado operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1184163602 assigned on February 2017. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Elizabeth Bowman (Director)
- NPI
- 1184163602 Verify this NPI
- Provider Name
- PUEBLO REGIONAL CENTER
- Entity Type
- Organization
- Location Address
- 183 S WIGGINS DR PUEBLO, CO 81007
- Location Phone
- (719) 585-4001
- Location Fax
- (719) 585-4030
- Mailing Address
- 270 W JOHN POWELL BLVD PUEBLO, CO 81007
- Mailing Phone
- (719) 585-4001
- Mailing Fax
- (719) 585-4030
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2017
- Last Update Date
- 02-22-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PUEBLO WEST, CO 81007
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184163602, enumerated as an "organization" on February 16, 2017.
The provider is located at 183 S WIGGINS DR PUEBLO, CO 81007 and the phone number is (719) 585-4001.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
