DLG Construction

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

DLG CONSTRUCTION

Practice address

1034 Collinwood Ave
Akron, OH 44310-1428

Phone

(702) 238-9190

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Destiny Green

Title

Owner

Phone

(702) 238-9190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedEvac Solutions Other name

Electronic endpoints 1

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1144856741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 COLLINWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101428",
            "telephone_number": "702-238-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 COLLINWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101428",
            "telephone_number": "702-238-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLG CONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-238-9190"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103933466",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ideeserveit@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1034 Collinwood Ave",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443101428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MedEvac Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Tracy Lynn Dobos, CRNA

• PACE Provider Organization in Akron, OH
• Providers in Akron, OH by specialty
• PACE Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.