Spectrum Community Services

LBN: Ted Hernandez Inc
Spectrum Community Services is an health care organization with primary practice located at 105 Lehigh Ave , Pueblo CO 81005-1855. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Ted Hernandez Inc can be contacted via phone (719) 545-4057, or through Hernandez, Theodore via phone (719) 545-4057.

Contact Information

Primary practice address
105 Lehigh Ave Pueblo CO 81005-1855
Phone: (719) 545-4057
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Theodore
Phone: (719) 545-4057

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1447622634
LBN Legal business name Ted Hernandez Inc
DBA Doing business as Spectrum Community Services
Authorized official Hernandez, Theodore
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2015
Last updated Feb 13th, 2017 - about 7 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 1447622634 NPPES
Colorado MEDICAID 15431061

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