Organization Active NPI

Home Pro LLC

  • Home Modifications Contractor
  • Evergreen, CO
National Provider Identifier
1306397179
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
772147 Issued in CO
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

Updated by the provider on Oct 17, 2016

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.