Active NPI
Valet Trash Pickup
- Home Modifications Contractor
- Rock Island, IL
National Provider Identifier
1407623804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 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 DirectoryNPI 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.