Aim Outpatient Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AIM OUTPATIENT SERVICES, LLC

Practice address

3960 Ivywood LN
Pueblo, CO 81005-2567

Phone

(719) 924-9850

Fax

(719) 565-2313

NPI assigned

Dec 9, 2020

Last updated

Dec 9, 2020By 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

Kellie M Torres Avila

Title

Administrator

Phone

(719) 924-9850

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1760088314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 IVYWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052567",
            "telephone_number": "719-924-9850",
            "fax_number": "719-565-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 IVYWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052567",
            "telephone_number": "719-924-9850",
            "fax_number": "719-565-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "TORRES AVILA",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-924-9850"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marwan Ahmed, MD
• Marissa Michelle Aide, PA
• Aim Design & Development, LLC
• Aim Diagnostics LLC
• Aim Home Health LLC
• Aimigo Home Health, LLC
• Aimigo Home Health, LLC
• Gunter Ainsworth
• Vickie Gayle Ainsworth, OTR
• Stephanie Aker

• Community/Behavioral Health Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.