Active NPI
Elevated Technologies LLC
- Home Modifications Contractor
- Craig, CO
National Provider Identifier
1104272004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- ELEVATED TECHNOLOGIES LLC
- Practice address
- 1051 5TH Ave S
Craig, CO 81625-9418 - Phone
- (970) 824-4677
- Fax
- (970) 824-4677
- NPI assigned
- May 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronal Morgan Hatcher
- Title
- Owner
- Phone
- (970) 379-4677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
1051 5TH Ave S
Craig, CO 81625-9418
Mailing address
1051 5TH Ave S
Craig, CO 81625-9418
Phone (970) 824-4677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57680051 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462838400000",
"number": "1104272004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 5TH AVE S",
"city": "CRAIG",
"state": "CO",
"postal_code": "816259418",
"telephone_number": "970-824-4677",
"fax_number": "970-824-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 5TH AVE S",
"city": "CRAIG",
"state": "CO",
"postal_code": "816259418",
"telephone_number": "970-824-4677",
"fax_number": "970-824-4677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATED TECHNOLOGIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A",
"authorized_official_last_name": "HATCHER",
"authorized_official_first_name": "RONAL",
"authorized_official_middle_name": "MORGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-379-4677"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57680051",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.