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PREMIUM DIRECT CARE PROVIDERS INC.
NPI 1346615085
Clinic/Center - Developmental Disabilities in Pueblo, CO

Active since December 07, 2015
1612 BONFORTE BLVD, PUEBLO, CO 81001(719) 543-3600 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premium Direct Care Providers Inc. NPPES

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

PREMIUM DIRECT CARE PROVIDERS INC. (NPI 1346615085) is a healthcare organization registered as a developmental disabilities in Pueblo, Colorado and active in the NPI registry since December 2015. The organization lists Joann Madrid, President, as its authorized official.

NPPES Registry Identity

NPI1346615085
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NamePREMIUM DIRECT CARE PROVIDERS INC.
Location Address1612 BONFORTE BLVDPueblo, CO 81001-1603
Mailing Address1612 Bonforte BlvdPueblo, CO 81001-1603
Phone(719) 543-3600
Organization SubpartNo
Authorized OfficialJoann MadridPresident · (719) 543-3600
Enumeration DateDecember 7, 2015
✔ NPI 1346615085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
1612 BONFORTE BLVD, Pueblo, CO 81001
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Other Providers at the Same Location NPPES 2

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

WILLOW TREE COUNSELING
Social Worker (Clinical)
1612 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 696-8426
MARY SIANEZ
Case Manager/Care Coordinator
1612 BONFORTE BLVD
PUEBLO, CO 81001
Pueblo County (719) 543-3600

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 Premium Direct Care Providers Inc.'s NPI number?

The NPI number for Premium Direct Care Providers Inc. is 1346615085. It was assigned to this organization in the NPPES registry on December 7, 2015.

Where is Premium Direct Care Providers Inc. located?

Premium Direct Care Providers Inc. is located at 1612 Bonforte Blvd, Pueblo, CO 81001. The listed phone number is (719) 543-3600.

What is Premium Direct Care Providers Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Premium Direct Care Providers Inc. was last updated on December 7, 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.