THE PAVILION AT VILLA PUEBLO
NPI 1285060756
Skilled Nursing Facility in Pueblo, CO
- Organization
- Skilled Nursing Facility
About THE PAVILION AT VILLA PUEBLO
This page provides the complete NPI Profile along with additional information for The Pavilion At Villa Pueblo, a provider established in Pueblo, Colorado operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285060756 assigned on September 2013. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as The Pavilion At Villa Pueblo. The authorized official of this NPI record is Dean Kiklis (Cfo)
- NPI
- 1285060756 Verify this NPI
- Provider Legal Name
- 1111 BONFORTE OPCO, LLC
- Other Organization Name
- THE PAVILION AT VILLA PUEBLO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 855 HUNTER DR PUEBLO, CO 81001
- Location Phone
- (719) 545-5911
- Location Fax
- (719) 253-3709
- Mailing Address
- 2668 NORTHPARK DR SUITE 220 LAFAYETTE, CO 80026
- Mailing Phone
- (303) 952-9216
- Mailing Fax
- (303) 675-5659
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-17-2013
- Last Update Date
- 09-26-2013
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285060756, enumerated as an "organization" on September 17, 2013.
The provider is located at 855 HUNTER DR PUEBLO, CO 81001 and the phone number is (719) 545-5911.
Skilled Nursing Facility with taxonomy code 314000000X.
