Pueblo Goodwill Industries Home Care Program

LBN: Pueblo Goodwill Industries Home Care Program
Pueblo Goodwill Industries Home Care Program is an health care organization with primary practice located at 247 S Santa Fe Ave , Pueblo CO 81003-4220. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Pueblo Goodwill Industries Home Care Program can be contacted via phone (719) 543-5718, or through Aragon, Terri via phone (719) 543-5718.

Contact Information

Primary practice address
247 S Santa Fe Ave Pueblo CO 81003-4220
Phone: (719) 543-5718
Fax: (719) 543-5723
Website:
Map and Directions
Authorized official contact:
Name: Aragon, Terri
Phone: (719) 543-5718

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1134205859
LBN Legal business name Pueblo Goodwill Industries Home Care Program
DBA Doing business as
Authorized official Aragon, Terri
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1134205859 NPPES
Colorado MEDICAID 04138483

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