Organization Active NPI

Randcorp, Inc.

  • Home Modifications Contractor
  • Boulder, CO
National Provider Identifier
1376223883
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
RANDCORP, INC.
Practice address
2505 Walnut St Ste 301
Boulder, CO 80302-5744
Phone
(303) 507-2942
Fax
(303) 415-9760
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Mr. Ali Yousef
Title
Corporate Secretary
Phone
(303) 507-2942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

2505 Walnut St Ste 301
Boulder, CO 80302-5744

Mailing address

2505 Walnut St Ste 301
Boulder, CO 80302-5744
Phone (303) 507-2942

National Provider Directory

National Provider Directory

Locations

2505 Walnut St
Ste 301
Boulder, CO 80302
Phone (303) 507-2942

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1376223883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 WALNUT ST STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025744",
            "telephone_number": "303-507-2942",
            "fax_number": "303-415-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 WALNUT ST STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025744",
            "telephone_number": "303-507-2942",
            "fax_number": "303-415-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDCORP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "303-507-2942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.