NPIMap

Organization Active NPI

LG Home Construction & Modifications

  • Home Modifications Contractor
  • Mission, TX
National Provider Identifier
1053946764
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
LG HOME CONSTRUCTION & MODIFICATIONS
Practice address
2611 E 29TH St
Mission, TX 78574-4727
Phone
(956) 239-1315
Fax
(956) 598-7998
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Mr. Luis D TrevinoNPI 1265805923
Title
Owner
Phone
(956) 239-1315

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 ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

2611 E 29TH St
Mission, TX 78574-4727

Mailing address

2611 E 29TH St
Mission, TX 78574-4727
Phone (956) 239-1315

Other names 1

  • LG Home Construction & Modifications Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1053946764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 E 29TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785744727",
            "telephone_number": "956-239-1315",
            "fax_number": "956-598-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 E 29TH ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785744727",
            "telephone_number": "956-239-1315",
            "fax_number": "956-598-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG HOME CONSTRUCTION & MODIFICATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-239-1315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LG Home Construction & Modifications",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.