PUEBLO DIVERSIFIED INDUSTRIES, INC.
NPI 1457706483
Day Training, Developmentally Disabled Services in Pueblo, CO

NPI Status: Active since April 27, 2016

Contact Information

2828 GRANADA BLVD
PUEBLO, CO
ZIP 81005
Phone: (719) 564-0000

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About PUEBLO DIVERSIFIED INDUSTRIES, INC.

This page provides the complete NPI Profile along with additional information for Pueblo Diversified Industries, Inc., a provider established in Pueblo, Colorado operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1457706483 assigned on April 2016. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Bryana Burns (Cfo)

NPI
1457706483
Provider Name
PUEBLO DIVERSIFIED INDUSTRIES, INC.
Entity Type
Organization
Location Address
2828 GRANADA BLVD PUEBLO, CO 81005
Location Phone
(719) 564-0000
Mailing Address
2828 GRANADA BLVD PUEBLO, CO 81005
Mailing Phone
(719) 564-0000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2016
Last Update Date
04-28-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2253Z00000XAgencies

In Home Supportive Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRYANA BURNS

Authorized Official Title
CFO
Authorized Official Phone
(719) 564-0000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
09142183MEDICAID (05)CO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457706483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410714012416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 4 + 0 + 1 + 2 + 4 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1457706483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124784913SOUTHERN COLORADO YOUTH DEVELOPMENT
Organization
Counselor (Professional)2828 GRANADA BLVD
PUEBLO, CO 81005
(719) 671-6188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457706483, enumerated in the NPI registry as an "organization" on April 27, 2016

The provider is located at 2828 Granada Blvd Pueblo, Co 81005 and the phone number is (719) 564-0000

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 27, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.