NPIMap

Organization Active NPI

Pueblo Regional Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pueblo, CO
National Provider Identifier
1043759541
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PUEBLO REGIONAL CENTER
Practice address
614 S Clarion Dr
Pueblo, CO 81007-1524
Phone
(719) 585-4001
Fax
(719) 585-4030
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
J R Demaria, PHD(C), LNHA
Title
Director
Phone
(719) 747-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

614 S Clarion Dr
Pueblo, CO 81007-1524

Mailing address

270 W John Powell Blvd
Pueblo, CO 81007-1775
Phone (719) 585-4001

National Provider Directory

National Provider Directory
Tax ID family
Colorado State Veterans Nursing Home102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1043759541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 W JOHN POWELL BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071775",
            "telephone_number": "719-585-4001",
            "fax_number": "719-585-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S CLARION DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071524",
            "telephone_number": "719-585-4001",
            "fax_number": "719-585-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "DEMARIA",
        "authorized_official_first_name": "J R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-747-5249",
        "authorized_official_credential": "PHD(C), LNHA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2025; 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.