Pitman Place, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020699 Issued in CO

Legal business name

PITMAN PLACE, LLC

Practice address

2515 Pitman PL
Pueblo, CO 81004-2633

Phone

(719) 564-0550

Fax

(719) 561-9760

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William McReynolds

Title

Owner

Phone

(303) 238-3838

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTWIND VILLAGE Doing business as

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1619978426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 PITMAN PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042633",
            "telephone_number": "719-564-0550",
            "fax_number": "719-561-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 PITMAN PL",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042633",
            "telephone_number": "719-564-0550",
            "fax_number": "719-561-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITMAN PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-238-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056-52664",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTWIND VILLAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tameika C Pillsbury, FNP-BC
• Andrea Pineda, CCC-SLP
• Samantha Pino
• Brookie L. Pitcock, PH.D.
• Pitman Place LLC
• Pitman Place, LLC
• Shaun Michael Pitts, DO
• Lori Pizarro
• Barry Placek, BS IN PHARMACY
• April Placher

• Skilled Nursing Facility in Pueblo, CO
• Providers in Pueblo, 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 Jun 10, 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.