Organization Active NPI

Maxover, LLC

  • Home Modifications Contractor
  • Decatur, IL
National Provider Identifier
1134554744
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
MAXOVER, LLC
Practice address
141 W Main St
Decatur, IL 62523-1212
Phone
(217) 424-4344
Fax
(217) 233-1119
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. John Schilawski
Title
President
Phone
(217) 424-8900

Specialties & licenses 1

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

Addresses

Primary practice location

141 W Main St
Decatur, IL 62523-1212

Mailing address

141 W Main St
Decatur, IL 62523-1212
Phone (217) 424-4344

Other names 1

  • Promax Construction Doing business as

National Provider Directory

National Provider Directory

Locations

141 W Main St
Decatur, IL 62523
Phone (217) 424-4344

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1134554744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231212",
            "telephone_number": "217-424-4344",
            "fax_number": "217-233-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231212",
            "telephone_number": "217-424-4344",
            "fax_number": "217-233-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "SCHILAWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-424-8900",
        "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": "Promax Construction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.