Boone Guest Home

LBN: Boone Guest Home
Boone Guest Home is an health care organization with primary practice located at 1339 S Pueblo Blvd , Pueblo CO 81005-1686. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Foster Care Agency, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Boone Guest Home can be contacted via phone (719) 564-0163, or through Mcclure, Jonna K via phone (719) 564-0163.

Contact Information

Primary practice address
1339 S Pueblo Blvd Pueblo CO 81005-1686
Phone: (719) 564-0163
Fax: (719) 564-0193
Website:
Map and Directions
Authorized official contact:
Name: Mcclure, Jonna K
Phone: (719) 564-0163

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Foster Care Agency 253J00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 050615 Colorado

Profile Details

NPI number 1396035887
LBN Legal business name Boone Guest Home
DBA Doing business as
Authorized official Mcclure, Jonna K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2011
Last updated Nov 19th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396035887 NPPES
Colorado MEDICAID 84622814
Colorado MEDICAID 52880711

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