P.a.L'S Acf & Day Program

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

P.A.L'S ACF & DAY PROGRAM

Practice address

232 Broadway Ave
Pueblo, CO 81004-2102

Phone

(719) 543-4108

NPI assigned

Apr 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Waldero

Title

Owner

Phone

(719) 543-4108

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1043484140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BROADWAY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042102",
            "telephone_number": "719-543-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.A.L'S ACF & DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "WALDERO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-543-4108"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04141875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Owens, RN
• Caitlin Owens
• Jaymie R Ownbey, PHYSICAL THERAPIST
• Kyle Oxley, RDH
• Kingsley Onyekachukwu Ozojide
• Renee D Pabilonia-Cole, PMNHP
• Alonso Pacheco, MD
• Jordan S Pacheco
• Leanna Pacheco
• Patricia Pacheco

• Assisted Living Facility (Mental Illness) in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Assisted Living Facility (Mental Illness) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.