NPIMap

Organization Active NPI

Wsi Personel

  • Skilled Nursing Facility
  • Pueblo, CO
National Provider Identifier
1366881237
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
215145 Issued in CO
Legal business name
WSI PERSONEL
Practice address
2610 Hollywood Dr
Pueblo, CO 81005-3313
Phone
(719) 821-6949
NPI assigned
Jun 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Mrs. Carol Lynn Archuleta, CERTIFICATION
Title
Cota
Phone
(719) 821-6949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 215145 CO Primary

Addresses

Primary practice location

2610 Hollywood Dr
Pueblo, CO 81005-3313

Mailing address

2610 Hollywood Dr
Pueblo, CO 81005-3313
Phone (719) 821-6949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1366881237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 HOLLYWOOD DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053313",
            "telephone_number": "719-821-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 HOLLYWOOD DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053313",
            "telephone_number": "719-821-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSI PERSONEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "719-821-6949",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFICATION"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "215145",
            "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 Jun 24, 2013; 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.