NPIMap

Organization Active NPI

Community Residential & Respite, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pueblo, CO
National Provider Identifier
1265873558
Registry record updated Apr 5, 2022
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
COMMUNITY RESIDENTIAL & RESPITE, LLC
Practice address
221 S Union Ave
Pueblo, CO 81003-3490
Phone
(719) 546-6322
Fax
(719) 546-6154
NPI assigned
Jul 15, 2013
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Barbara Yaeger, LPC
Title
Owner/Director
Phone
(719) 546-6322

Specialties & licenses 1

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

Addresses

Primary practice location

221 S Union Ave
Pueblo, CO 81003-3490

Mailing address

221 S Union Ave
Pueblo, CO 81003-3490
Phone (719) 546-6322

National Provider Directory

National Provider Directory
Tax ID family
Community Residential Respite LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

221 S Union Ave
Pueblo, CO 81003
Phone (719) 545-1114

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1265873558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S UNION AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033490",
            "telephone_number": "719-546-6322",
            "fax_number": "719-546-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S UNION AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033490",
            "telephone_number": "719-546-6322",
            "fax_number": "719-546-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENTIAL & RESPITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "YAEGER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "719-546-6322",
        "authorized_official_credential": "LPC"
    },
    "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 Apr 5, 2022; 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.