JOHNSON HOME ASSISTED LIVING, INC.
NPI 1316302664
Assisted Living Facility - Assisted Living, Mental Illness in Pueblo, CO

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

The NPI number for Villa Grove Assisted Living is 1316302664. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is doing business as Johnson Home Assisted Living, Inc..

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

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since December 30, 2015

403 W 13TH ST, PUEBLO, CO 81003(719) 543-0305(719) 562-9684 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Johnson Home Assisted Living, Inc. NPPES

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

JOHNSON HOME ASSISTED LIVING, INC. (NPI 1316302664) is a healthcare organization registered as an assisted living, mental illness in Pueblo, Colorado and active in the NPI registry since December 2015. The organization lists Paul Spicola, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1316302664

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameVILLA GROVE ASSISTED LIVING

Location Address403 W 13TH STPueblo, CO 81003-2748

Mailing Address403 W 13th StPueblo, CO 81003-2748 · (719) 543-0305 · Fax (719) 562-9684

Phone(719) 543-0305

Fax(719) 562-9684

Organization SubpartNo

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

Enumeration DateDecember 30, 2015

✔ NPI 1316302664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in CO · 230602

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

403 W 13TH ST, Pueblo, CO 81003

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Other Names 1

Doing Business AsJohnson Home Assisted Living, Inc.

Other Identifiers 1

Medicaid26420554CO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSON HOME ASSISTED LIVING, INC.

Assisted Living Facility (Assisted Living, Mental Illness)

403 W 13TH ST
PUEBLO, CO 81003

Pueblo County (719) 543-0306

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's NPI number?

The NPI number for Villa Grove Assisted Living is 1316302664. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is doing business as Johnson Home Assisted Living, Inc..

Where is Villa Grove Assisted Living located?

Villa Grove Assisted Living is located at 403 W 13th St, Pueblo, CO 81003. The listed phone number is (719) 543-0305.

What is Villa Grove Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Villa Grove Assisted Living was last updated on December 30, 2015. 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.