OrganizationActive
Pueblo Regional Center
NPI 1689113193 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pueblo, CO
Provider details
- NPI number
- 1689113193
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- J R Demaria, Director(719) 747-5249
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
330 E Hahns Peak Ave
Pueblo, CO 81007-2793
Phone: (719) 585-4001
Fax: (719) 585-4030
Approximate (ZIP-level) locationGet directions
Mailing address
270 W John Powell Blvd
Pueblo, CO 81007-1775
Registry dates
- Enumerated
- 2017-02-16
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.