1111 Bonforte Opco, LLC
NPI 1285060756ActiveOrganization· Skilled Nursing Facility· Pueblo, CO
Skilled Nursing Facility in Pueblo, Colorado, registered in NPPES in September 2013. The authorized official on file is Dean Kiklis, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1285060756 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2013 |
| Last updated in NPPES | Sep 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CO) |
|---|
Other Skilled Nursing Facility providers in Pueblo
- 1588222863
- 1861508822
- 1407211931
- 1801418256
- 1386188746
- 1134627573
- 1811796899
- 1265537591
- 1750741211
- 1700452711
- 1144175365
- 1043165673