Organization Active NPI

Catholic Health Initiatives Colorado

  • Home Health Agency
  • Pueblo, CO
National Provider Identifier
1023115557
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 10, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05775002MedicaidCO

Other names 1

  • Centura Health St. Mary Corwin Home Services Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.