1111 Bonforte Opco LLC
NPI 1588222863ActiveOrganization· Skilled Nursing Facility· Pueblo, CO
Skilled Nursing Facility in Pueblo, Colorado, registered in NPPES in June 2019, part of 1111 Bonforte Opco LLC. The authorized official on file is Dean Kiklis, Cfo.
Overview
| NPI | 1588222863 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 1111 Bonforte Opco LLC |
| NPI issued | Jun 3, 2019 |
| Last updated in NPPES | Jun 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
| Respite Care | 385H00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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