Gregory M Stofac

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

CR026001 Issued in CO

Practice address

10255 Carmody LN
Lakewood, CO 80227-2084

Phone

(303) 229-5724

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Colorado Home Modifications LTD

  • Home Modifications Contractor
  • Lakewood, CO
  • NPI 1669107736
  NPD Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1205560729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 CARMODY LN",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272084",
            "telephone_number": "303-229-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 CARMODY LN",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272084",
            "telephone_number": "303-229-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFAC",
        "first_name": "GREGORY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": "CR026001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greg@coloradohomemodifications.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10255 Carmody Ln",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802272084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Stewart, DNP
• Lydia Stiles, LCSW
• Tracy Ann Stiller, MD
• John Stine
• Sarah Anne Stites, LPN
• Jennifer Stofac
• Carolyn Ruth Stoloff, PHD
• Alison Dee Stoltz, R.M.T
• Stone Chiropractic, Inc.
• Stone Mountain Healthcare, PC

• Home Modifications Contractor in Lakewood, CO
• Providers in Lakewood, 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 Jul 11, 2022; 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.