Steven Boyd Fugate, HOME MODIFICATIONS

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2012050200489 Issued in IN

Practice address

217 W William St
Michigan City, IN 46360-4234

Phone

(219) 707-8240

Fax

(219) 262-5093

NPI assigned

Dec 16, 2019

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

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1215575790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 US HIGHWAY 6 STE 225",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685057",
            "telephone_number": "219-730-7023",
            "fax_number": "219-262-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W WILLIAM ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604234",
            "telephone_number": "219-707-8240",
            "fax_number": "219-262-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "STEVEN",
        "middle_name": "BOYD",
        "credential": "HOME MODIFICATIONS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "IN",
            "license": "2012050200489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sfugate@handypro.com",
            "affiliation": "Y",
            "affiliationName": "HandyPro International, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "217 W William St",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463604234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Modifications Contractor in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Home Modifications Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.