PUEBLO COMMUNITY CONNECTIONS INC II (NPI# 1891232021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891232021 |
| Entity Type | Organization |
| Organization Name | PUEBLO COMMUNITY CONNECTIONS INC II |
| Practice Address |
3913 Sandalwood Ln Pueblo CO 81005-2586 |
| Practice Telephone | 7195442122 |
| Mailing Telephone | 7195442122 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | THOMAS LAVINE (OWNER/OPERATOR) |
| Authorized Official Telephone | 7195442122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | CO | Agencies | |
| Y | 253Z00000X | In Home Supportive Care | CO | Agencies |
| Street Address |
3913 SANDALWOOD LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2586 |
| 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 | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104393693 | Aimigo Home Health, LLC | In Home Supportive Care | 1208 Eagleridge Blvd Ste D, Pueblo, CO 81008-2329 | 2018-11-01 |
| 1235592684 | Southern Colordo Independent Community, LLC | In Home Supportive Care | 2325 Crestwood Ln, Pueblo, CO 81008-2862 | 2016-04-02 |
| 1114384476 | Shalom Home Care Corporation LLC Dba Shalom Home Care | In Home Supportive Care | 134 Lamar Ave, Pueblo, CO 81004-1907 | 2016-01-18 |
| 1982094165 | Moonlite, LLC | In Home Supportive Care | 2099 W Us Highway 50 Ste 110, Pueblo, CO 81008-1677 | 2015-01-27 |
| 1972942654 | Communi-care, LLC | In Home Supportive Care | 221 S Union Ave # A, Pueblo, CO 81003-3490 | 2013-06-17 |
| 1689812059 | Center for Disabilities | In Home Supportive Care | 901 West 8th Street, Pueblo, CO 81003-2003 | 2009-01-23 |
| 1891762316 | Interim Healthcare of Southeastern Colorado, Inc. | In Home Supportive Care | 720 N Main St, Suite 400, Pueblo, CO 81003-3020 | 2006-03-02 |
| 1174047401 | Arant Inc | In Home Supportive Care | 418 W 12th St, Pueblo, CO 81003-2815 | 2017-07-28 |
| 1609235316 | Mosey Management Inc | In Home Supportive Care | 503 N Main St, Suite #700, Pueblo, CO 81003-3130 | 2016-02-23 |
| 1376967695 | Peoplecare of Southern Colorado, LLC | In Home Supportive Care | 201 W 8th St, Suite 810, Pueblo, CO 81003-3038 | 2014-02-06 |
| 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.