PUEBLO REGIONAL CENTER (NPI# 1518406016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518406016 |
| Entity Type | Organization |
| Organization Name | PUEBLO REGIONAL CENTER |
| Practice Address |
262 S Bayfield Ave Pueblo CO 81007-2750 |
| Mailing Address |
270 W John Powell Blvd Pueblo CO 81007-1775 |
| Practice Telephone | 7195854001 |
| Practice Fax Number | 7195854030 |
| Mailing Telephone | 7195854001 |
| Mailing Fax Number | 7195854030 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MRS. DEBORAH L ARCHULETA (DIRECTOR) |
| Authorized Official Telephone | 7195854001 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO DEPARTMENT OF HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1184163040 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 895 S Bellflower Dr, Pueblo, CO 81007-1902 | 2017-02-13 |
| 1063545465 | Pueblo Regional Center | Day Training, Developmentally Disabled Services | 270 W John Powell Blvd, Pueblo West, CO 81007-1775 | 2007-03-14 |
| Street Address |
262 S BAYFIELD AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81007-2750 |
| 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 | 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 |
| 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 |
| 1184163040 | Pueblo Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 895 S Bellflower Dr, Pueblo, CO 81007-1902 | 2017-02-13 |
| 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.