Organization Active NPI

Pitman Place LLC

  • Skilled Nursing Facility
  • Pueblo, CO
National Provider Identifier
1376702191
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
020699 Issued in CO
Legal business name
PITMAN PLACE LLC
Practice address
2515 Pitman PL
Pueblo, CO 81004-2633
Phone
(719) 564-0550
Fax
(719) 404-1035
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Ms. Terri Blechar
Title
Accountant
Phone
(303) 238-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 020699 CO Primary

Addresses

Primary practice location

2515 Pitman PL
Pueblo, CO 81004-2633

Mailing address

2515 Pitman PL
Pueblo, CO 81004-2633
Phone (719) 564-0550

Other identifiers 1

IdentifierTypeStateIssuer
05652706MedicaidCO

Other names 1

  • WESTWIND VILLAGE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1376702191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 PITMAN PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042633",
            "telephone_number": "719-564-0550",
            "fax_number": "719-404-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 PITMAN PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042633",
            "telephone_number": "719-564-0550",
            "fax_number": "719-404-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITMAN PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "BLECHAR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "303-238-3838",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652706",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTWIND VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 6, 2008; 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.