EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY – NPI #1992858344
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY is a residential treatment facility located in PUEBLO, CO. NPPES has assigned the NPI number 1992858344 to EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY on January 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY” is a dba name, the actual legal business name for this organization is EL PUEBLO BOYS' AND GIRLS' RANCH, INC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 10 years ago on Mar 04, 2016. 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 EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY below.

NPI Profile for
EL PUEBLO BOYS' AND GIRLS' RANCH, INC.

NPI Number
1992858344
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EL PUEBLO BOYS' AND GIRLS' RANCH, INC.
Doing Business As (dba): EL PUEBLO...AN ADOLESCENT TREATMENT COMMUNITY
Primary location
1 EL PUEBLO RANCH WAY
PUEBLO, CO 81006
Phone: (719) 544-7496 Fax: (719) 544-7705
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIM NICHOLS
PRESIDENT AND CEO
Phone: (719) 404-1131
Updated
Taxonomy Code(s)

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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
CO 45146

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.