Active NPI
Three Trees Residential Contracting LLC.
- Home Modifications Contractor
- Eagan, MN
National Provider Identifier
1447908041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- THREE TREES RESIDENTIAL CONTRACTING LLC.
- Practice address
- 4527 Scott TRL
Eagan, MN 55122-2352 - Phone
- (612) 601-7050
- NPI assigned
- Mar 13, 2022
- Last updated
- Mar 13, 2022
- 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
- Jerrel Lee Enerson-Matthews
- Title
- Owner
- Phone
- (651) 890-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NU | Primary |
Addresses
Primary practice location
4527 Scott TRL
Eagan, MN 55122-2352
Mailing address
PO Box 22404
Eagan, MN 55122-0404
Phone (612) 601-7050
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647129600000",
"number": "1447908041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22404",
"city": "EAGAN",
"state": "MN",
"postal_code": "551220404",
"telephone_number": "612-601-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 SCOTT TRL",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222352",
"telephone_number": "612-601-7050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE TREES RESIDENTIAL CONTRACTING LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-13",
"last_updated": "2022-03-13",
"certification_date": "2022-03-13",
"status": "A",
"authorized_official_last_name": "ENERSON-MATTHEWS",
"authorized_official_first_name": "JERREL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-890-9898"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.