Organization Active NPI

Valet Trash Pickup

  • Home Modifications Contractor
  • Rock Island, IL
National Provider Identifier
1407623804
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
VALET TRASH PICKUP
Practice address
4510 14TH Ave
Rock Island, IL 61201-3921
Phone
(319) 259-2875
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Mr. Caleb Crawford
Title
Ceo
Phone
(319) 259-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

4510 14TH Ave
Rock Island, IL 61201-3921

Mailing address

4510 14TH Ave
Rock Island, IL 61201-3921
Phone (319) 259-2875

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1407623804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 14TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013921",
            "telephone_number": "319-259-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 14TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013921",
            "telephone_number": "319-259-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALET TRASH PICKUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-259-2875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.