Pueblo Medical Investors, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0004 Issued in CO

Legal business name

PUEBLO MEDICAL INVESTORS, LLC

Doing business as

Hallmark Nursing Center

Practice address

3701 W Radcliff Ave
Denver, CO 80236-3645

Phone

(303) 794-6484

Fax

(303) 797-8781

NPI assigned

Aug 5, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy S Cross

Title

Assistant Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hallmark Nursing Center Doing business as

Tax ID family

Hallmark Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hallmark Nursing Operations, LLC

  dba Hallmark Nursing Center

  • Skilled Nursing Facility
  • Denver, CO
  • NPI 1194130997
  NPD tax ID

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1588673255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W RADCLIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363645",
            "telephone_number": "303-794-6484",
            "fax_number": "303-797-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652714",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crista G. Puchi
• Julianne Elaine Puckett, FNP
• Leah Puckett, M.D.
• Leticia Puckett, PHARM.D.
• Nancy Pudwill, RD
• Bethany Pugh, OTR
• Samantha Shalen Pugh, M.S.W., L.C.S.W.
• Thomas Pugh, MD
• Alicia Pulido
• Thomas Pulk, MD

• Skilled Nursing Facility in Denver, CO
• Providers in Denver, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.