Active NPI
Home Pro LLC
- Home Modifications Contractor
- Evergreen, CO
National Provider Identifier
1306397179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 772147
- Legal business name
- HOME PRO LLC
- Practice address
- 6362 Prairie LN
Evergreen, CO 80439-6512 - Phone
- (303) 809-3558
- Fax
- (303) 674-5812
- NPI assigned
- Oct 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Douglas Iddings
- Title
- Owner
- Phone
- (303) 809-3558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 772147 | CO | Primary |
Addresses
Primary practice location
6362 Prairie LN
Evergreen, CO 80439-6512
Mailing address
6362 Prairie LN
Evergreen, CO 80439-6512
Phone (303) 809-3558
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476662400000",
"number": "1306397179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6362 PRAIRIE LN",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804396512",
"telephone_number": "303-809-3558",
"fax_number": "303-674-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6362 PRAIRIE LN",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804396512",
"telephone_number": "303-809-3558",
"fax_number": "303-674-5812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME PRO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A",
"authorized_official_last_name": "IDDINGS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-809-3558"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": "CO",
"license": "772147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.