Organization Active NPI

Elevated Technologies LLC

  • Home Modifications Contractor
  • Craig, CO
National Provider Identifier
1104272004
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
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

Updated by the provider on May 10, 2016

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
57680051MedicaidCO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.