Kazadia Construction & Rehab LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

KAZADIA CONSTRUCTION & REHAB LLC

Practice address

72 Maywood PL
Saint Paul, MN 55117-5620

Phone

(651) 208-3244

Fax

(651) 488-2466

NPI assigned

May 21, 2021

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Diallo Gant Sr., CONTRACTOR

Title

Owner

Phone

(651) 208-3244

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1225603244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MAYWOOD PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551175620",
            "telephone_number": "651-208-3244",
            "fax_number": "651-488-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MAYWOOD PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551175620",
            "telephone_number": "651-208-3244",
            "fax_number": "651-488-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZADIA CONSTRUCTION & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "DIALLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-208-3244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kazadiallc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "72 Maywood Pl",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551175620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.