Organization Active NPI

Cappella Pueblo West LLC

Doing business as Cappella of Pueblo West

  • Assisted Living Facility
  • Pueblo West, CO
National Provider Identifier
1295395358
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2197201Cappella of Pueblo West170 S Dacona Drive, Pueblo West, CO 81007Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.