Active NPI
Cappella Pueblo West LLC
Doing business as Cappella of Pueblo West
- Assisted Living Facility
- Pueblo West, CO
National Provider Identifier
1295395358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CAPPELLA PUEBLO WEST LLC
- Doing business as
- Cappella of Pueblo West
- Practice address
- 170 S Dacona Dr
Pueblo West, CO 81007-5403 - Phone
- (719) 547-2538
- NPI assigned
- Jun 19, 2019
- Last updated
- Jun 19, 2019
- 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
- Terry Rogers
- Title
- Ceo
- Phone
- (720) 974-3555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
170 S Dacona Dr
Pueblo West, CO 81007-5403
Mailing address
9570 S Kingston CT Ste 300
Englewood, CO 80112-6004
Phone (720) 974-3555
Other names 1
- Cappella of Pueblo West
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2197201 | Cappella of Pueblo West | Certificate of waiver | Oct 21, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560902400000",
"number": "1295395358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 S KINGSTON CT STE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801126004",
"telephone_number": "720-974-3555",
"fax_number": "720-974-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 S DACONA DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810075403",
"telephone_number": "719-547-2538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPPELLA PUEBLO WEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-974-3555"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cappella of Pueblo West",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.