Organization Active NPI

Reentry Success Group LLC

  • Substance Abuse Rehabilitation Facility
  • Pueblo, CO
National Provider Identifier
1730008665
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Jul 28, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.