NPIMap

Organization Active NPI

Pueblo Community Connections

  • Foster Care Agency
  • Pueblo, CO
National Provider Identifier
1487783486
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
1524719 Issued in CO
Legal business name
PUEBLO COMMUNITY CONNECTIONS
Practice address
3913 Sandlewood LN
Pueblo, CO 81005-2586
Phone
(719) 544-2122
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dee Lavine
Title
Director
Phone
(719) 544-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 1524719 CO Primary

Addresses

Primary practice location

3913 Sandlewood LN
Pueblo, CO 81005-2586

Mailing address

PO Box 3157
Pueblo, CO 81005-0157

Other identifiers 1

IdentifierTypeStateIssuer
13600273MedicaidCO

National Provider Directory

National Provider Directory

Locations

3913 Sandalwood Ln
Pueblo, CO 81005
Phone (719) 544-2122

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1487783486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810050157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 SANDLEWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-544-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO COMMUNITY CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-544-2122"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CO",
            "license": "1524719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13600273",
            "state": "CO"
        }
    ],
    "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 2, 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.