Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Individual Canvas LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1245938257

Individual Canvas LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

46 Regency Blvd Apt I
Pueblo, CO 81005-1831
Phone: (719) 334-3123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Transportation Broker Taxonomy 347E00000X

Record details

NPI number1245938257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Sandoval — Executive Director · (719) 334-3123
NPI enumeratedFebruary 20, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address46 Regency Blvd Apt I, Pueblo, CO 81005-1831

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