Grand Valley Pro Clean Limited Liability Company

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRAND VALLEY PRO CLEAN LIMITED LIABILITY COMPANY

Doing business as

Grand Valley Pro Clean

Practice address

499 Coronado CT Unit C
Clifton, CO 81520-7628

Phone

(970) 783-8247

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By 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

Bradley Allen Wall

Title

Owner

Phone

(970) 783-8247

Specialties & licenses 1

Addresses

Other names 2

• Grand Valley Pro Clean Doing business as
• Grand Valley Pro Clean Limited Liability Company Other name

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1346083854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 CORONADO CT UNIT C",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815207628",
            "telephone_number": "970-783-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CORONADO CT UNIT C",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815207628",
            "telephone_number": "970-783-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY PRO CLEAN LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-783-8247"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley Pro Clean",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley Pro Clean Limited Liability Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Care Home Facility in Clifton, CO
• Providers in Clifton, CO by specialty
• Adult Care Home Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.