NPIMap

Organization Active NPI

Mental Health Transitional Living Homes (MHTL)

  • Mental Illness Community Based Residential Treatment Facility
  • Pueblo West, CO
National Provider Identifier
1396567962
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MENTAL HEALTH TRANSITIONAL LIVING HOMES (MHTL)
Practice address
183 S Wiggins Dr
Pueblo West, CO 81007-1614
Phone
(720) 630-0582
NPI assigned
Oct 25, 2024
Organization subpart
Yes
Parent organization
COLORADO MENTAL HEALTH INSTITUTE PUEBLOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Bonnie Wright, MS
Title
Division Director of MHTL
Phone
(720) 630-0582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

183 S Wiggins Dr
Pueblo West, CO 81007-1614

Mailing address

183 S Wiggins Dr
Pueblo West, CO 81007-1614
Phone (720) 630-0582

Other names 1

  • Mental Health Transitional Living Home Wiggins Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado State Veterans Nursing Home102 organizations share this tax ID, including this one
Part of
Colorado State Veterans Nursing Home

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1396567962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S WIGGINS DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071614",
            "telephone_number": "720-630-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S WIGGINS DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071614",
            "telephone_number": "720-630-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH TRANSITIONAL LIVING HOMES (MHTL)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO MENTAL HEALTH INSTITUTE PUEBLO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "DIVISION DIRECTOR OF MHTL",
        "authorized_official_telephone_number": "720-630-0582",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Transitional Living Home Wiggins",
            "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 Oct 25, 2024; 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.