Active NPI
Reentry Success Group LLC
- Substance Abuse Rehabilitation Facility
- Pueblo, CO
National Provider Identifier
1730008665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REENTRY SUCCESS GROUP LLC
- Practice address
- 868 E Sandusky Dr
Pueblo, CO 81007-1328 - Phone
- (720) 630-9040
- NPI assigned
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Avila
- Title
- Partner/Member
- Phone
- (720) 258-5770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
868 E Sandusky Dr
Pueblo, CO 81007-1328
Mailing address
4915 Sonoma Dr
Pueblo, CO 81005-2997
Phone (720) 630-9040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1730008665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 SONOMA DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052997",
"telephone_number": "720-630-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 E SANDUSKY DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810071328",
"telephone_number": "720-630-9040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REENTRY SUCCESS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "AVILA",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "PARTNER/MEMBER",
"authorized_official_telephone_number": "720-258-5770"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 28, 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.