COMMUNITY RESIDENTIAL & RESPITE LLC NPI 1265873558

NPI Information

  • NPI: 1265873558
  • Provider Name: COMMUNITY RESIDENTIAL & RESPITE, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 221 S UNION AVE
    PUEBLO, CO
    ZIP 81003
  • Phone: (719) 546-6322

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NPI Details

COMMUNITY RESIDENTIAL & RESPITE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMUNITY RESIDENTIAL & RESPITE, LLC NPI is 1265873558. The provider is registered as an organization entity type.

The provider's business location address is:

221 S UNION AVE
PUEBLO, CO
ZIP 81003-490
Phone: (719) 546-6322
Fax: (719) 546-6154

The provider's authorized official is Barbara Yaeger .
The authorized official title is Owner/director and has the following contact phone number (719) 546-6322.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 4/5/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 11/21/2025

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