Individual Canvas Llc

LBN: Individual Canvas Llc
Individual Canvas Llc is an health care organization with primary practice located at 46 Regency Blvd Apt I , Pueblo CO 81005-1831. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Transportation Broker. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Individual Canvas Llc can be contacted via phone (719) 334-3123, or through Sandoval, Theresa Marie via phone (719) 334-3123.

Contact Information

Primary practice address
46 Regency Blvd Apt I Pueblo CO 81005-1831
Phone: (719) 334-3123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sandoval, Theresa Marie
Phone: (719) 334-3123

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1245938257
LBN Legal business name Individual Canvas Llc
DBA Doing business as
Authorized official Sandoval, Theresa Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2023
Last updated Mar 13th, 2023 - about 3 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.

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