Richard Orr
Individual provider Active NPI Home Modifications Contractor · Las Animas, CO
NPI 1457715864 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1457715864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- License
- NOT REQUIRED - BENT (CO)
- Practice address
- 14900 County Road GG.5
Las Animas, CO 81054-9456 - Phone
- (719) 456-0045
- NPI assigned
- Apr 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOT REQUIRED - BENT | CO | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Orr | Home Modifications | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NOT REQUIRED - BENT | CO | Yes |
Addresses
Primary practice location
14900 County Road GG.5
Las Animas, CO 81054-9456
Mailing address
14900 County Road GG.5
Las Animas, CO 81054-9456
Phone (719) 456-0045
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04142238 | Other | CO | HCBS BILLING NUMBER |
Other providers in Las Animas, CO
- Jennifer Elizabeth Lee
- Heather Annick Martinez
- Steven Anthony Martinez Jr.
- Jimmy Lee McCrackin
- David Oba
- Pharmacy Services Inc
- Prowers County Hospital District
- Trista D Pryor
- Region Six Alcohol & Drug Abuse Inc.
- Region Six Alcohol & Drug Abuse Inc.
All providers in Las Animas, CO · Home Modifications Contractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.