Active NPI
Catholic Health Initiatives Colorado
- Home Health Agency
- Pueblo, CO
National Provider Identifier
1023115557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Doing business as
- Centura Health St. Mary Corwin Home Services
- Practice address
- 4112 Outlook Blvd Ste 260
Pueblo, CO 81008 - Phone
- (719) 566-6600
- Fax
- (719) 566-6606
- NPI assigned
- Sep 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Hannah
- Title
- Cfo
- Phone
- (719) 557-4668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4112 Outlook Blvd Ste 260
Pueblo, CO 81008
Mailing address
4112 Outlook Blvd Ste 260
Pueblo, CO 81008-1667
Phone (719) 566-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05775002 | Medicaid | CO |
Other names 1
- Centura Health St. Mary Corwin Home Services
National Provider Directory
National Provider DirectoryLocations
4112 Outlook Blvd
Ste 260
Pueblo, CO 81008
Phone (719) 566-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533859200000",
"number": "1023115557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD STE 260",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081667",
"telephone_number": "719-566-6600",
"fax_number": "719-566-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD STE 260",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81008",
"telephone_number": "719-566-6600",
"fax_number": "719-566-6606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-19",
"last_updated": "2018-08-10",
"status": "A",
"authorized_official_last_name": "HANNAH",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "719-557-4668"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05775002",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Centura Health St. Mary Corwin Home Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Centura Health St. Mary Corwin Home Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo, CO
- Pauline Sophie Castillo, FNP
- Leanna Marie Catalano, MA, LPCC, NCC
- Leslie L Cates, LMT, CNMT
- Catholic Charities of the Diocese of Pueblo
- Catholic Health Iniatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.