SENIOR HARBORS, INC. (NPI# 1114009198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114009198 |
| Entity Type | Organization |
| Organization Name | SENIOR HARBORS, INC. |
| Practice Address |
2118 Chatalet Lane Pueblo CO 81005 |
| Mailing Address |
3031 Norwich Ave Pueblo CO 81008-1435 |
| Practice Telephone | 7193203648 |
| Practice Fax Number | 7195436432 |
| Mailing Telephone | 7193203648 |
| Mailing Fax Number | 7195436432 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | DR. SHERLEY J. GONZALES (CEO) |
| Authorized Official Telephone | 7193203648 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2181 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 23489367 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Senior Harbors, Inc. | 3031 Norwich Ave, Pueblo, CO 81008 |
| Street Address |
2118 CHATALET LANE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427542679 | Fisher & Associates, LLC | Psychologist | 113 W 12th St, Pueblo, CO 81003-2808 | 2018-06-20 |
| 1649409715 | Alfonso Cappa-melendez | Psychologist | 720 N Main St Ste 300, Pueblo, CO 81003-3047 | 2009-07-09 |
| 1487265450 | Stacey Lynn Samaro | Psychologist | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2020-08-13 |
| 1336604560 | Melissa A Cole | Psychologist | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2019-02-01 |
| 1114478245 | Miriam Suzanne Scott | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2016-10-24 |
| 1710436910 | Megan Marks | Psychologist | 315 Colorado Ave, Pueblo, CO 81004-2046 | 2016-09-28 |
| 1841616083 | Alison Rowland | Psychologist | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-03-12 |
| 1528498078 | Arkansas Peak Psychological Services, Pplc | Psychologist | 503 N Main St, Suite 326, Pueblo, CO 81003-3130 | 2013-11-20 |
| 1891125407 | David Benson | Psychologist | 503 N Main St, Suite 326, Pueblo, CO 81003-3130 | 2013-11-18 |
| 1275887424 | Charlotte K Yianakopulos-veatch | Psychologist | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2012-11-08 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.