Individual Canvas LLC
NPI 1245938257 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pueblo, CO
Individual Canvas LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Pueblo, CO (NPI 1245938257).
Provider details
- NPI number
- 1245938257
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Theresa Sandoval, Executive Director(719) 334-3123
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Transportation Broker347E00000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Individual Canvas LLC's NPI number?
- Individual Canvas LLC's National Provider Identifier (NPI) is 1245938257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Individual Canvas LLC?
- Individual Canvas LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Individual Canvas LLC located?
- Individual Canvas LLC's practice location on file with NPPES is 46 Regency Blvd Apt I, Pueblo, CO 81005-1831.
- What is Individual Canvas LLC's phone number?
- The practice phone number listed in the NPPES registry for Individual Canvas LLC is (719) 334-3123.
- Who is the authorized official for Individual Canvas LLC?
- The authorized official listed on Individual Canvas LLC's NPPES record is Theresa Sandoval, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Individual Canvas LLC's NPI active?
- Yes — Individual Canvas LLC's NPI (1245938257) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.