=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205076296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUMAN TOUCH HOME HEALTH CARE AGENCY INC PUEBLO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2009
-----------------------------------------------------
Last Update Date | 07/28/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1008 W ABRIENDO AVE
-----------------------------------------------------
City | PUEBLO
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81004-1128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-544-0282
-----------------------------------------------------
Fax | 719-544-0277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1225 N GRAND AVE STE 102
-----------------------------------------------------
City | PUEBLO
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81003-2865
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-544-0282
-----------------------------------------------------
Fax | 719-544-0277
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE REGIONAL ADMINISTRATOR
-----------------------------------------------------
Name | CATRINA HUGHES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 719-635-2003
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------