STEEL CITY RESIDENTIAL AND SUPPORT SERVICES LLC (NPI# 1336706456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336706456 |
| Entity Type | Organization |
| Organization Name | STEEL CITY RESIDENTIAL AND SUPPORT SERVICES LLC |
| Practice Address |
21 Dundee Ln Pueblo CO 81001-1727 |
| Practice Telephone | 7192423458 |
| Mailing Telephone | 7192423458 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | MARY V ARAGON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7192423458 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Steel City Residential and Support Services LLC | 21 Dundee Ln, Pueblo, CO 81001 |
| Street Address |
21 DUNDEE LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 | ||||
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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.