Brad'S House Pueblo

LBN: Brad'S House Pueblo
Brad'S House Pueblo is an health care organization with primary practice located at 422 Broadway Ave , Pueblo CO 81004-2128. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Brad'S House Pueblo can be contacted via phone (719) 639-3776, or through Thompson, Samantha via phone (719) 639-3776.

Contact Information

Primary practice address
422 Broadway Ave Pueblo CO 81004-2128
Phone: (719) 639-3776
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Samantha
Phone: (719) 639-3776

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1437845690
LBN Legal business name Brad'S House Pueblo
DBA Doing business as
Authorized official Thompson, Samantha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2023
Last updated Apr 12th, 2023 - about last year

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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