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Individual Canvas LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, CO · enumerated 2023 · authorized official Theresa Sandoval, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245938257

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Registry record

Entity type Organization (Type 2)
Legal business name Individual Canvas LLC
Practice address 46 Regency Blvd Apt I, Pueblo, CO, 81005
Enumeration date Feb 20, 2023
Last updated in NPPES Mar 13, 2023

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary
347E00000X Transportation Broker Transportation Services Secondary

Authorized official

Name Theresa Sandoval
Title Executive Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-13. Verify at npiregistry.cms.hhs.gov.
Where is Individual Canvas LLC located?
The practice location on file with NPPES is in Pueblo, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-13.