Organization Active NPI

Cloud 9 Renovations LLC

  • Home Modifications Contractor
  • Colorado Springs, CO
National Provider Identifier
1124746342
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
CLOUD 9 RENOVATIONS LLC
Practice address
2750 Kittyhawk Rd
Colorado Springs, CO 80920-1441
Phone
(719) 377-8203
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Caleb Ketterer
Title
President
Phone
(719) 377-8203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

2750 Kittyhawk Rd
Colorado Springs, CO 80920-1441

Mailing address

3578 Hartsel Dr Unit E335
Colorado Springs, CO 80920-2103
Phone (719) 377-8203

National Provider Directory

National Provider Directory

Locations

3578 Hartsel Dr
Unit E335
Colorado Springs, CO 80920

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1124746342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 HARTSEL DR UNIT E335",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202103",
            "telephone_number": "719-377-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 KITTYHAWK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201441",
            "telephone_number": "719-377-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD 9 RENOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "KETTERER",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-377-8203"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2023; 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.