Graybeard Construction LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

PA066873 Issued in PA

Legal business name

GRAYBEARD CONSTRUCTION LLC

Practice address

1158 Cornwallis Way
Collegeville, PA 19426-1887

Phone

(610) 945-5507

NPI assigned

Apr 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Gulen

Title

President

Phone

(610) 945-5507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301788800000",
    "number": "1275822967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 CORNWALLIS WAY",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261887",
            "telephone_number": "610-945-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 CORNWALLIS WAY",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261887",
            "telephone_number": "610-945-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYBEARD CONSTRUCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-03",
        "last_updated": "2011-04-03",
        "status": "A",
        "authorized_official_last_name": "GULEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-945-5507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "PA",
            "license": "PA066873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elysse Kathryn Gosling
• Catherine G Graham, MA, CCC-SLP
• Janet Marie Graham, MS, PT
• Phillip Ryan Grant, LCSW
• Kendall Maris Grasela, NP
• Diane Greeley, RN
• Janel A. Gross, OTR
• Dale Robert Grothe, PHARM.D., RP.H.
• Michaela Rose Guerin
• Adele Marie Guernica, D.O.

• Home Modifications Contractor in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Home Modifications Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2011; 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.