Healthcare Provider Details

I. General information

NPI: 1821921339
Provider Name (Legal Business Name): CARECORNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N MAIN ST
PUEBLO CO
81003-3130
US

IV. Provider business mailing address

PO BOX 8101
PUEBLO CO
81008-8101
US

V. Phone/Fax

Practice location:
  • Phone: 719-691-5206
  • Fax:
Mailing address:
  • Phone: 713-691-5206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GINA PARADISO
Title or Position: DIRECTOR/CEO
Credential:
Phone: 719-691-5206