BOONE GUEST HOME – NPI #1396035887
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
BOONE GUEST HOME is a community based residential treatment facility located in PUEBLO, CO. NPPES has assigned the NPI number 1396035887 to BOONE GUEST HOME on April 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 11 years ago on Nov 19, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOONE GUEST HOME below.
NPI Profile for
BOONE GUEST HOME
(more than 15 years ago)
PUEBLO, CO 81005-1686 Phone: (719) 564-0163 Fax: (719) 564-0193
OWNER/DIRECTOR
Phone: (719) 564-0163
Identifiers for BOONE GUEST HOME
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CO | 52880711 | |
| MEDICAID | CO | 84622814 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
CO | 050615 |
| 253J00000X - Foster Care Agency |
||
| 251C00000X - Day Training, Developmentally Disabled Services |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.