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SOUTHERN COLORDO INDEPENDENT COMMUNITY LLC NPI 1235592684


NPI Information

NPI: 1235592684
Provider Name: SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 06D0668338

Address:
2325 CRESTWOOD LN
PUEBLO, CO
ZIP 81008
Phone: (720) 201-4065
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SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC is an in home supportive care in Pueblo, CO. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. SOUTHERN COLORDO INDEPENDENT COMMUNITY, LLC NPI is 1235592684. The provider is registered as an organization entity type.

The provider's business location address is:

2325 CRESTWOOD LN
PUEBLO, CO
ZIP 81008-862
Phone: (720) 201-4065

The provider's authorized official is William Gerard Smith .
The authorized official title is Member and has the following contact phone number (720) 201-4065.

The CLIA number assigned to this NPI record is 06D0668338 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/2/2016 and was last updated on 4/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive Care31695638COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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