Rachelle Marie Clennin

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

2591 Legacy Way
Grand Junction, CO 81503-1789

Phone

(970) 462-9472

NPI assigned

Jun 6, 2024

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe Space Builders

  • Home Modifications Contractor
  • Grand Junction, CO
  • NPI 1679317143
  NPD Authorized official
• Safe Space Builders

  • Home Modifications Contractor
  • Grand Junction, CO
  • NPI 1861234254
  NPD Authorized official

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1134961618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 LEGACY WAY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815031789",
            "telephone_number": "970-462-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 LEGACY WAY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815031789",
            "telephone_number": "970-462-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENNIN",
        "first_name": "RACHELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Clark, M.ED.
• Shyliea Rain Clark
• Terry R Clark
• Leah Clearwater, LPC
• Felicia Clemmons
• Kirk D Clifford, MD
• Tarra Clifford
• Brett David Clifton, DDS
• Emilie Mae Climer
• Christine Marie Cline, MA

• Home Modifications Contractor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Home Modifications Contractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.