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JOHNSON HOME ASSISTED LIVING, INC.
NPI 1447615968
Assisted Living Facility - Assisted Living, Mental Illness in Pueblo, CO

Active since December 28, 2015
403 W 13TH ST, PUEBLO, CO 81003(719) 543-0306(719) 562-9684 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1447615968) 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

NPI1447615968
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameJOHNSON HOME ASSISTED LIVING, INC.
Location Address403 W 13TH STPueblo, CO 81003-2748
Mailing Address403 W 13th StPueblo, CO 81003-2748 · (719) 543-0306 · Fax (719) 562-9684
Phone(719) 543-0306
Fax(719) 562-9684
Organization SubpartNo
Authorized OfficialPaul SpicolaVice-president · (719) 369-4567
Enumeration DateDecember 28, 2015
Last NPPES UpdateDecember 29, 2015
✔ NPI 1447615968 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 Identifiers 1

Medicaid04142097CO

Other Providers at the Same Location NPPES

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

VILLA GROVE ASSISTED LIVING
Assisted Living Facility (Assisted Living, Mental Illness)
403 W 13TH ST
PUEBLO, CO 81003
Pueblo County (719) 543-0305

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 Johnson Home Assisted Living, Inc.'s NPI number?

The NPI number for Johnson Home Assisted Living, Inc. is 1447615968. It was assigned to this organization in the NPPES registry on December 28, 2015.

Where is Johnson Home Assisted Living, Inc. located?

Johnson Home Assisted Living, Inc. is located at 403 W 13th St, Pueblo, CO 81003. The listed phone number is (719) 543-0306.

What is Johnson Home Assisted Living, Inc.'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 Johnson Home Assisted Living, Inc. was last updated on December 29, 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.