Organization Active NPI

Abbas Construction Inc

  • Home Modifications Contractor
  • Colorado Springs, CO
National Provider Identifier
1013360619
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
21547 Issued in CO
Legal business name
ABBAS CONSTRUCTION INC
Practice address
3590 Jubilant PL
Colorado Springs, CO 80917-2513
Phone
(719) 491-0691
Fax
(719) 591-2140
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ABBAS CONSTRUCTION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose P VillarruelNPI 1306298013
Title
Owner
Phone
(719) 491-0691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 21547 CO Primary

Addresses

Primary practice location

3590 Jubilant PL
Colorado Springs, CO 80917-2513

Mailing address

3590 Jubilant PL
Colorado Springs, CO 80917-2513
Phone (719) 491-0691

Other identifiers 1

IdentifierTypeStateIssuer
58689559MedicaidCO

National Provider Directory

National Provider Directory
Part of
Abbas Construction Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1013360619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 JUBILANT PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172513",
            "telephone_number": "719-491-0691",
            "fax_number": "719-591-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 JUBILANT PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172513",
            "telephone_number": "719-491-0691",
            "fax_number": "719-591-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBAS CONSTRUCTION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABBAS CONSTRUCTION INC",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "VILLARRUEL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-491-0691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": "21547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58689559",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.