Surface Specialists Metro Inc

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

IR651456 Issued in MN

Legal business name

SURFACE SPECIALISTS METRO INC

Practice address

5115 Excelsior Blvd
Suite #414
St Louis Park, MN 55416-2906

Phone

(763) 753-2807

Fax

(763) 444-7980

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Merri Roos

Title

Vice President

Phone

(763) 753-2807

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1194067389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 EXCELSIOR BLVD",
            "address_2": "SUITE #414",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162906",
            "telephone_number": "763-753-2807",
            "fax_number": "763-444-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 EXCELSIOR BLVD",
            "address_2": "SUITE #414",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162906",
            "telephone_number": "763-753-2807",
            "fax_number": "763-444-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFACE SPECIALISTS METRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "MERRI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "763-753-2807"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "IR651456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.