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Boone Guest Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, Colorado
NPI 1396035887

Boone Guest Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pueblo, CO. Boone Guest Home practices in Pueblo, CO. The NPI Number for Boone Guest Home is 1396035887 and holds a License No. (Colorado).

The current practice location address for Boone Guest Home is 1339 S Pueblo Blvd, Pueblo, CO and can be reached out via phone at 719-564-0163 and via fax at 719-564-0193.

Location: 1339 S Pueblo Blvd, Pueblo, CO, 81005-1686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396035887
Provider Name
Boone Guest Home
Credential
Provider Entity Type
Organization
Address
1339 S Pueblo Blvd, Pueblo, CO, 81005-1686
Phone Number
719-564-0163
Fax Number
719-564-0193
Provider Enumeration Date
04/18/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84622814 05 CO
52880711 05 CO
institution
Provider Business Practice Location Address Details
Address
1339 S Pueblo Blvd
City
Pueblo
State
Colorado
Zip
81005-1686
Phone Number
719-564-0163
Fax Number
719-564-0193
person
Provider Business Mailing Address Details
Address
1339 S Pueblo Blvd
City
Pueblo
State
Colorado
Zip
81005-1686
Phone Number
719-564-0163
Fax Number
719-564-0193
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
050615 (Colorado)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
()
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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