Unknown Individual – Substance Abuse Rehabilitation Facility, NPI 1417281973

Unknown Individual is a healthcare provider. based in Pueblo, Colorado. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for Unknown Individual is 1417281973

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417281973
Phone
(197) 544-1350
Address
1530 W 17TH ST
Deactivation Date
18 December 2020

Contacts

Other Endpoint
Pueblo
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness85
Years active:0State licenses:0Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1530, West 17th Street, Pueblo, Pueblo County, Colorado, 81003, United States

    PUEBLO, CO 810031558

    Phone: (197) 544-1350

    Fax: (719) 583-4013

    Type: Mailing

  • 3470, Baltimore Avenue, Pueblo, Pueblo County, Colorado, 81008, United States

    PUEBLO, CO 810081520

    Phone: (719) 545-1181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81003)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1417281973; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Pueblo, Colorado for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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