OrganizationActive
Johnson Home Assisted Living, Inc.
NPI 1447615968 · Assisted Living Facility (Mental Illness) · Pueblo, CO
Provider details
- NPI number
- 1447615968
- 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
Practice location
403 W 13th St
Pueblo, CO 81003-2748
Phone: (719) 543-0306
Fax: (719) 562-9684
Approximate (ZIP-level) locationGet directions
Mailing address
403 W 13th St
Pueblo, CO 81003-2748
Registry dates
- Enumerated
- 2015-12-28
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.