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BOONE GUEST HOME
NPI 1396035887
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pueblo, CO

Active since April 18, 2011
1339 S PUEBLO BLVD, PUEBLO, CO 81005(719) 564-0163(719) 564-0193 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Boone Guest Home NPPES

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

BOONE GUEST HOME (NPI 1396035887) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, Colorado and active in the NPI registry since April 2011. The organization lists Jonna K Mcclure, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1396035887
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBOONE GUEST HOME
Location Address1339 S PUEBLO BLVDPueblo, CO 81005-1686
Mailing Address1339 S Pueblo BlvdPueblo, CO 81005-1686 · (719) 564-0163 · Fax (719) 564-0193
Phone(719) 564-0163
Fax(719) 564-0193
Organization SubpartNo
Authorized OfficialJonna K McclureOwner/director · (719) 564-0163
Enumeration DateApril 18, 2011
Last NPPES UpdateNovember 19, 2015
✔ NPI 1396035887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in CO · 050615
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedFoster Care AgencyTaxonomy 253J00000X
1339 S PUEBLO BLVD, Pueblo, CO 81005
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Other Identifiers 2

Medicaid52880711CO
Medicaid84622814CO

Other Providers at the Same Location NPPES 3

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

MRS. NANCY WALLER PA
Physician Assistant (Medical)
1339 S PUEBLO BLVD
PUEBLO, CO 81005
Pueblo County (719) 647-5831
SALLY GONZALES-APODACA C.P.A.
Physician Assistant
1339 S PUEBLO BLVD
PUEBLO, CO 81005
Pueblo County (719) 564-9400
DESTINY INCORPORATED
Day Training, Developmentally Disabled Services
1339 S PUEBLO BLVD
PUEBLO, CO 81005
Pueblo County (719) 564-0163

Frequently Asked Questions

What is BOONE GUEST HOME's NPI number?

The NPI number assigned to this healthcare provider is 1396035887, enumerated as an "organization" on April 18, 2011.

Where is the provider located?

The provider is located at 1339 S PUEBLO BLVD PUEBLO, CO 81005 and the phone number is (719) 564-0163.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

What insurance does BOONE GUEST HOME accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.