PUEBLO WEST GARDENS (NPI# 1477924249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477924249 |
| Entity Type | Organization |
| Organization Name | PUEBLO WEST GARDENS |
| Practice Address |
960 E Saxony Dr Pueblo West CO 81007-1586 |
| Practice Telephone | 7199248624 |
| Practice Fax Number | 7199248993 |
| Mailing Telephone | 7199248624 |
| Mailing Fax Number | 7199248993 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | MS. KRISS PRADO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7194065288 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23Z781 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 22682554 | 05 |
| Street Address |
960 E SAXONY DR |
| City | PUEBLO WEST |
| State | CO |
| Zip Code | 81007-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
| 1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
| 1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
| 1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
| 1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
| 1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
| 1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
| 1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
| 1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
| 1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
| Find all providers in zip 81007 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508055385 | Lynn Alan Murray | Assisted Living Facility | 720 E Springmont Dr, Pueblo West, CO 81007-3526 | 2007-10-17 |
| 1952503708 | Tammy and Marty's Cozy Adult Care Home II LLC | Assisted Living Facility | 523 W Cokedale Dr, Pueblo West, CO 81007-5117 | 2007-06-04 |
| 1649231648 | Pueblo West Assisted Living, LLC | Assisted Living Facility | 170 S Dacona Dr, Pueblo West, CO 81007-5403 | 2006-03-29 |
| 1295395358 | Cappella Pueblo West LLC | Assisted Living Facility | 170 S Dacona Dr, Pueblo West, CO 81007-5403 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1316553068 | Lower Valley Hospital Association | Assisted Living Facility | 243 N Cherry St, Fruita, CO 81521-2102 | 2020-09-18 |
| 1003427311 | Easley Senior Care LLC | Assisted Living Facility | 17351 W 64th Ave, Arvada, CO 80007-7796 | 2020-08-11 |
| 1528676111 | Pine Ridge Terrace Manor LLC | Assisted Living Facility | 378 S Pearl St, Elizabeth, CO 80107-7519 | 2020-07-20 |
| 1669090965 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2240 Pratt St, Longmont, CO 80501-1497 | 2020-07-13 |
| 1699393728 | Planet View Inc. | Assisted Living Facility | 6994 County Road 39, Fort Lupton, CO 80621-8528 | 2020-07-06 |
| 1093339665 | Graceful Hearts Assisted Living | Assisted Living Facility | 6780 E Lake Cir, Centennial, CO 80111-4410 | 2020-05-30 |
| 1912520925 | Apex Assisted Living LLC | Assisted Living Facility | 3071 S Rosemary St, Denver, CO 80231-4186 | 2020-05-26 |
| 1477175172 | Eben Ezer Lutheran Care Center | Assisted Living Facility | 1910 Edison St, Brush, CO 80723-1743 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | PUEBLO WEST |
| Zip Code | 81007 |
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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.