Healthcare Provider Details

I. General information

NPI: 1891036646
Provider Name (Legal Business Name): HUMAN TOUCH UNSKILLED SERVICES, INC-PUEBLO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 W ABRIENDO AVE
PUEBLO CO
81004-1128
US

IV. Provider business mailing address

1008 W ABRIENDO AVE
PUEBLO CO
81004-1128
US

V. Phone/Fax

Practice location:
  • Phone: 719-544-0282
  • Fax: 719-544-0277
Mailing address:
  • Phone: 719-544-0282
  • Fax: 719-544-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04R662
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CATRINA HUGHES
Title or Position: EXECUTIVE REGIONAL ADMINISTRATOR
Credential:
Phone: 719-635-2003