<Unavail>
LBN: Community Residential & Respite, Llc
<Unavail> is an health care organization with primary practice located at 1640 E 4Th St , Pueblo CO 81001-4108. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty.
Community Residential & Respite, Llc can be contacted via phone (719) 545-2228, or through Yaeger, Barbara J.H. via phone (719) 546-6322.
Contact Information
Primary practice address
1640 E 4Th St
Pueblo CO 81001-4108
Phone: (719) 545-2228
Fax: (719) 545-2229
Website:
Authorized official contact:
Name: Yaeger, Barbara J.H. Licensed Professional Counselor (LPC)
Phone: (719) 546-6322
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1285087445 |
|---|---|
| LBN Legal business name | Community Residential & Respite, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Yaeger, Barbara J.H. Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Jul 22nd, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285087445 | NPPES |
| Colorado | MEDICAID | 90839056 |
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