Assisted Living at Pueblo, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

ASSISTED LIVING AT PUEBLO, LLC

Practice address

544 E. Abriendo Avenue
Pueblo, CO 81004-2389

Phone

(719) 569-7990

Fax

(719) 569-7945

NPI assigned

Aug 11, 2026

Organization subpart

No

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

Authorized official

Name

Melany S Wong

Title

Administrator

Phone

(720) 635-4734

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1457276396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 274",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348998",
            "telephone_number": "720-635-4734",
            "fax_number": "720-420-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 E. ABRIENDO AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042389",
            "telephone_number": "719-569-7990",
            "fax_number": "719-569-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING AT PUEBLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MELANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-635-4734"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000203874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lev Asherov, MD
• Fatima Ashfaq
• Ashok PC
• Heather D Ashurst
• Sameh Adel Assad, MD
• Associates for Psychotherapy and Education, PC
• Associates in Family Practice PC
• Richard M. Astafan, M.D.
• Asthma & Allergy Associates, PC
• Asthma & Allergy Associates, PC

• Assisted Living Facility (Mental Illness) in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Assisted Living Facility (Mental Illness) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.