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Pueblo Goodwill Industries Home Care Program
Home Health Agency in Pueblo, Colorado
NPI 1134205859

Pueblo Goodwill Industries Home Care Program is a Home Health Agency based in Pueblo, CO. Pueblo Goodwill Industries Home Care Program practices in Pueblo, CO. The NPI Number for Pueblo Goodwill Industries Home Care Program is 1134205859 and holds a License No. (Colorado).

The current practice location address for Pueblo Goodwill Industries Home Care Program is 247 S Santa Fe Ave, Pueblo, CO and can be reached out via phone at 719-543-5718 and via fax at 719-543-5723.

Location: 247 S Santa Fe Ave, Pueblo, CO, 81003-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134205859
Provider Name
Pueblo Goodwill Industries Home Care Program
Credential
Provider Entity Type
Organization
Address
247 S Santa Fe Ave, Pueblo, CO, 81003-4220
Phone Number
719-543-5718
Fax Number
719-543-5723
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04138483 05 CO
institution
Provider Business Practice Location Address Details
Address
247 S Santa Fe Ave
City
Pueblo
State
Colorado
Zip
81003-4220
Phone Number
719-543-5718
Fax Number
719-543-5723
person
Provider Business Mailing Address Details
Address
247 S Santa Fe Ave
City
Pueblo
State
Colorado
Zip
81003-4220
Phone Number
719-543-5718
Fax Number
719-543-5723
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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