Active NPI
Cloud 9 Renovations LLC
- Home Modifications Contractor
- Colorado Springs, CO
National Provider Identifier
1124746342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Home Modifications Contractor | 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 DirectoryLocations
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.
-
- Occupational Therapist
- Colorado Springs, CO
- NPI 1063756146
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.