SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC (NPI# 1235592684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235592684 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC |
| Practice Address |
2325 Crestwood Ln Pueblo CO 81008-2862 |
| Practice Telephone | 7202014065 |
| Mailing Telephone | 7202014065 |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2016-04-02 |
| Authorized Official Name | WILLIAM GERARD SMITH (MEMBER) |
| Authorized Official Telephone | 7202014065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 31695638 | CO | Agencies |
| Street Address |
2325 CRESTWOOD LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104393693 | Aimigo Home Health, LLC | In Home Supportive Care | 1208 Eagleridge Blvd Ste D, Pueblo, CO 81008-2329 | 2018-11-01 |
| 1114384476 | Shalom Home Care Corporation LLC Dba Shalom Home Care | In Home Supportive Care | 134 Lamar Ave, Pueblo, CO 81004-1907 | 2016-01-18 |
| 1982094165 | Moonlite, LLC | In Home Supportive Care | 2099 W Us Highway 50 Ste 110, Pueblo, CO 81008-1677 | 2015-01-27 |
| 1972942654 | Communi-care, LLC | In Home Supportive Care | 221 S Union Ave # A, Pueblo, CO 81003-3490 | 2013-06-17 |
| 1689812059 | Center for Disabilities | In Home Supportive Care | 901 West 8th Street, Pueblo, CO 81003-2003 | 2009-01-23 |
| 1891762316 | Interim Healthcare of Southeastern Colorado, Inc. | In Home Supportive Care | 720 N Main St, Suite 400, Pueblo, CO 81003-3020 | 2006-03-02 |
| 1174047401 | Arant Inc | In Home Supportive Care | 418 W 12th St, Pueblo, CO 81003-2815 | 2017-07-28 |
| 1609235316 | Mosey Management Inc | In Home Supportive Care | 503 N Main St, Suite #700, Pueblo, CO 81003-3130 | 2016-02-23 |
| 1376967695 | Peoplecare of Southern Colorado, LLC | In Home Supportive Care | 201 W 8th St, Suite 810, Pueblo, CO 81003-3038 | 2014-02-06 |
| 1861839987 | Communi-care LLC | In Home Supportive Care | 221 S Union Ave, Pueblo, CO 81003-3490 | 2013-05-30 |
| 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.