Pueblo Diversified Industries, Inc.

LBN: Pueblo Diversified Industries, Inc.
Pueblo Diversified Industries, Inc. is an health care organization with primary practice located at 2828 Granada Blvd , Pueblo CO 81005-3104. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Pueblo Diversified Industries, Inc. can be contacted via phone (719) 564-0000, or through Burns, Bryana via phone (719) 564-0000.

Contact Information

Primary practice address
2828 Granada Blvd Pueblo CO 81005-3104
Phone: (719) 564-0000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burns, Bryana
Phone: (719) 564-0000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1457706483
LBN Legal business name Pueblo Diversified Industries, Inc.
DBA Doing business as
Authorized official Burns, Bryana
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2016
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457706483 NPPES
Colorado MEDICAID 09142183

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