OrganizationActive
Villa Grove Assisted Living Home
NPI 1003273053 · Assisted Living Facility · Pueblo, CO
Provider details
- NPI number
- 1003273053
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Spicola, Vice-President(719) 369-4567
- License
- 23W276 (CO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
715 E B St
Pueblo, CO 81003-3504
Phone: (719) 544-1561
Fax: (719) 542-6539
Street-level locationGet directions
Mailing address
715 E B St
Pueblo, CO 81003-3504
Other names (DBA / former)
- Doing business as
- Johnson Assisted Living Home, Inc.
Registry dates
- Enumerated
- 2016-01-21
- Last updated
- 2016-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.