Pueblo West Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23Z781 Issued in CO

Legal business name

PUEBLO WEST GARDENS

Practice address

960 E Saxony Dr
Pueblo West, CO 81007-1586

Phone

(719) 924-8624

Fax

(719) 924-8993

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kriss Prado, RN

Title

Executive Director

Phone

(719) 406-5288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1477924249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E SAXONY DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071586",
            "telephone_number": "719-924-8624",
            "fax_number": "719-924-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E SAXONY DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071586",
            "telephone_number": "719-924-8624",
            "fax_number": "719-924-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO WEST GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "KRISS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-406-5288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23Z781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22682554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pueblo Regional Center
• Pueblo West Assisted Living, LLC (Legacy Commons at Pueblo West)
• Pueblo West Chiropractic Center Inc.
• Pueblo West Chiropractic Health Solutions Inc.
• Pueblo West Dental, Prof.LLC (Pueblo West Neighborhood Dental and Implants)
• Pueblo West Metropolitan District
• Pueblo West Neighborhood Dental (Pueblo West Dental Care)
• Pueblo West Primary Care LLC (Pueblo West Primary Care)
• Pure Spa & Wellness
• Pursuit of Happiness Counseling, LLC

• Assisted Living Facility in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.