NPIMap

Organization Active NPI

Center for Disabilities

  • Case Management Agency
  • Pueblo, CO
National Provider Identifier
1316149685
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
9809485 Issued in CO
Legal business name
CENTER FOR DISABILITIES
Practice address
1304 Berkley Ave
Pueblo, CO 81004-3002
Phone
(719) 546-1271
Fax
(719) 546-1374
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Lawrence L Williams, D. MIN.
Title
Executive Director
Phone
(719) 546-1271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 9809485 CO Primary

Addresses

Primary practice location

1304 Berkley Ave
Pueblo, CO 81004-3002

Mailing address

1304 Berkley Ave
Pueblo, CO 81004-3002
Phone (719) 546-1271

National Provider Directory

National Provider Directory
Tax ID family
Center Health Care Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1304 Berkley Ave
Pueblo, CO 81004
Phone (719) 546-1271

Ownership & related parties

Subparts reporting this organization as parent 3

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1316149685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERKLEY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043002",
            "telephone_number": "719-546-1271",
            "fax_number": "719-546-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERKLEY AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043002",
            "telephone_number": "719-546-1271",
            "fax_number": "719-546-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-546-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. MIN."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CO",
            "license": "9809485",
            "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 Jan 16, 2009; 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.