Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Southern Colordo Independent Community, LLC

Organization In Home Supportive Care Agency · NPI 1235592684

Southern Colordo Independent Community, LLC is an In Home Supportive Care Agency in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2016.

Licensed in
CO
In the registry since
2016
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

2325 Crestwood Ln
Pueblo, CO 81008-2862
Phone: (720) 201-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 31695638 (CO)

Record details

NPI number1235592684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Smith — Member · (720) 201-4065
NPI enumeratedApril 2, 2016
Last updated in NPPESApril 2, 2016
Mailing address2325 Crestwood Ln, Pueblo, CO 81008-2862

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