NPI

1111 Bonforte Opco, LLC

Doing business as Villa Pueblo Assisted Living. Phone (719) 545-5911 · Fax (719) 253-3709 · NPI 1669807731

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2013-09-09
Last updated
2013-09-26

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
855 Hunter Dr
City
Pueblo CO
Postal code
81001-1867
Phone
(719) 545-5911
Fax
(719) 253-3709

Organization contact

Name
Dean Kiklis
Title
CFO
Phone
(303) 952-9216

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Assisted Living Facility providers in Pueblo, CO. 25 with this primary taxonomy in the public file.

Other NPIs in Pueblo, CO. 5,019 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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