Organization Active NPI

Pitman Place, LLC

Doing business as Horizon Heights

  • Skilled Nursing Facility
  • Pueblo, CO
National Provider Identifier
1922000371
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0275 Issued in CO
Legal business name
PITMAN PLACE, LLC
Doing business as
Horizon Heights
Practice address
1610 Scranton Ave
Pueblo, CO 81004-2676
Phone
(719) 564-0550
Fax
(719) 561-1601
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0275 CO Primary

Addresses

Primary practice location

1610 Scranton Ave
Pueblo, CO 81004-2676

Mailing address

1610 Scranton Ave
Pueblo, CO 81004-2676
Phone (719) 564-0550

Other identifiers 1

IdentifierTypeStateIssuer
05652672MedicaidCO

Other names 1

  • HORIZON HEIGHTS Doing business as

National Provider Directory

National Provider Directory

Locations

1610 Scranton Ave
Pueblo, CO 81004
Phone (719) 564-0050

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1922000371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 SCRANTON AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042676",
            "telephone_number": "719-564-0550",
            "fax_number": "719-561-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 SCRANTON AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042676",
            "telephone_number": "719-564-0550",
            "fax_number": "719-561-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITMAN PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "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": "0275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652672",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HORIZON HEIGHTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.