Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Boone Guest Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, CO · enumerated 2011 · authorized official Jonna Mcclure, Owner/Director.

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

National Provider Identifier

1396035887

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Registry record

Entity type Organization (Type 2)

Legal business name Boone Guest Home

Practice address 1339 S Pueblo Blvd, Pueblo, CO, 81005

Phone (719) 564-0163

Fax (719) 564-0193

Enumeration date Apr 18, 2011

Last updated in NPPES Nov 19, 2015

Taxonomy & classification

251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary

253J00000X Foster Care Agency Agencies Secondary

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 050615 (CO) Primary

Authorized official

Name Jonna Mcclure

Title Owner/Director

Phone (719) 564-0163

Other identifiers

Identifier	Type	State	Issuer
84622814	Medicaid	CO	-
52880711	Medicaid	CO	-

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 2015-11-19. Verify at npiregistry.cms.hhs.gov.

Where is Boone Guest Home located?

The practice location on file with NPPES is in Pueblo, CO.

Providers at this address

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Nancy Waller Medical Physician Assistant · Pueblo, CO NPI 1093982647 Sally Gonzales-Apodaca Physician Assistant · Pueblo, CO NPI 1114164795 Destiny Incorporated Developmentally Disabled Services Day Training Agency · Pueblo, CO NPI 1629376603

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-19.