OrganizationActive
Villa Grove Assisted Living
NPI 1316302664 · Assisted Living Facility (Mental Illness) · Pueblo, CO
Provider details
- NPI number
- 1316302664
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Spicola, Vice-President(719) 369-4567
- License
- 230602 (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
403 W 13th St
Pueblo, CO 81003-2748
Phone: (719) 543-0305
Fax: (719) 562-9684
Street-level locationGet directions
Mailing address
403 W 13th St
Pueblo, CO 81003-2748
Other names (DBA / former)
- Doing business as
- Johnson Home Assisted Living, Inc.
Registry dates
- Enumerated
- 2015-12-30
- Last updated
- 2015-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.