TED HERNANDEZ INC (NPI# 1447622634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447622634 |
| Entity Type | Organization |
| Organization Name | TED HERNANDEZ INC |
| Other Organization Name | SPECTRUM COMMUNITY SERVICES |
| Practice Address |
105 Lehigh Ave Pueblo CO 81005-1855 |
| Practice Telephone | 7195454057 |
| Mailing Telephone | 7195454057 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | MR. THEODORE HERNANDEZ (OWNER) |
| Authorized Official Telephone | 7195454057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 15431061 | 05 |
| Other Name | Type Code |
|---|---|
| Spectrum Community Services | Doing Business As Name - Organization |
| Street Address |
105 LEHIGH AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-1855 |
| 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 | 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.