The Pavilion At Villa Pueblo

LBN: 1111 Bonforte Opco, Llc
The Pavilion At Villa Pueblo is an health care organization with primary practice located at 855 Hunter Dr , Pueblo CO 81001-1867. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 1111 Bonforte Opco, Llc can be contacted via phone (719) 545-5911, or through Kiklis, Dean via phone (303) 952-9216.

Contact Information

Primary practice address
855 Hunter Dr Pueblo CO 81001-1867
Phone: (719) 545-5911
Fax: (719) 253-3709
Website:
Map and Directions
Authorized official contact:
Name: Kiklis, Dean
Phone: (303) 952-9216

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1285060756
LBN Legal business name 1111 Bonforte Opco, Llc
DBA Doing business as The Pavilion At Villa Pueblo
Authorized official Kiklis, Dean
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2013
Last updated Sep 26th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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