B-4 DAY PROGRAM AND RESIDENTIAL SERVICES INC. (NPI# 1255654935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255654935 |
| Entity Type | Organization |
| Organization Name | B-4 DAY PROGRAM AND RESIDENTIAL SERVICES INC. |
| Practice Address |
110 Santa Fe Dr Pueblo CO 81006-1174 |
| Practice Telephone | 7195422688 |
| Mailing Telephone | 7195422688 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | MRS. JOYCE MARIE ARMSTRONG (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7195422688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | CO | Agencies | |
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | CO | Residential Treatment Facilities | |
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
110 SANTA FE DR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81006-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1528593167 | Melissa Dasher | Dental Hygienist | 1292 Zinno Blvd, Pueblo, CO 81006 | 2017-04-20 |
| 1043588833 | Johnathan Seamus Waters | Radiologic Technologist | 2223 Daniel Road, Pueblo, CO 81006 | 2011-12-07 |
| 1992858344 | El Pueblo Boys' and Girls' Ranch, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2007-01-19 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1730514019 | Tammy Kay Salmon | Social Worker | 1 El Pueblo Ranch Way, Pueblo, CO 81006 | 2013-09-05 |
| 1518062074 | American Medical Response of Colorado Inc | Ambulance | 922 S Santa Fe Ave, Pueblo, CO 81006-1125 | 2006-09-13 |
| 1467083022 | Stephanie Ortega | Counselor | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-01-31 |
| 1053918623 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-06 |
| 1487251278 | Health Solutions | Clinic/Center | 1591 Taos Rd, Pueblo, CO 81006-1232 | 2020-10-05 |
| Find all providers in zip 81006 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850297 | Sparks Residential and Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1762 27th Ln, Pueblo, CO 81006-9702 | 2017-02-21 |
| 1710426234 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 E Maher Dr, Pueblo, CO 81007-3514 | 2017-02-16 |
| 1043759558 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 E Galatea Dr, Pueblo, CO 81007-2730 | 2017-02-16 |
| 1760921274 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 268 W Harmony Dr, Pueblo, CO 81007-6379 | 2017-02-16 |
| 1912446436 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 272 W Harmony Dr, Pueblo, CO 81007-6379 | 2017-02-16 |
| 1255870754 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 496 S Latimer Dr, Pueblo, CO 81007-3521 | 2017-02-16 |
| 1043759541 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 614 S Clarion Dr, Pueblo, CO 81007-1524 | 2017-02-16 |
| 1518406016 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 S Bayfield Ave, Pueblo, CO 81007-2750 | 2017-02-16 |
| 1538608039 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 887 S Bellflower Dr, Pueblo, CO 81007-1902 | 2017-02-16 |
| 1689113193 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 330 E Hahns Peak Ave, Pueblo, CO 81007-2793 | 2017-02-16 |
| Find all providers in PUEBLO | ||||
Please comment or provide details below to improve the information on B-4 DAY PROGRAM AND RESIDENTIAL SERVICES INC..
| 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.