Organization Active NPI

Back in Time Plumbing LLC

  • Home Modifications Contractor
  • Fredericksburg, VA
National Provider Identifier
1265270763
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
BACK IN TIME PLUMBING LLC
Practice address
5312 S Oaks Ave
Fredericksburg, VA 22407-8715
Phone
(540) 997-3042
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Thor Maurice Finn Sr.NPI 1992543599
Title
Owner
Phone
(540) 997-3042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X NU Primary

Addresses

Primary practice location

5312 S Oaks Ave
Fredericksburg, VA 22407-8715

Mailing address

5312 S Oaks Ave
Fredericksburg, VA 22407-8715
Phone (540) 997-3042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1265270763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 S OAKS AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078715",
            "telephone_number": "540-997-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 S OAKS AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078715",
            "telephone_number": "540-997-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN TIME PLUMBING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "THOR",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-997-3042",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.