Individual provider Active NPI

Sean Welch

  • Home Modifications Contractor
  • Colorado Springs, CO
National Provider Identifier
1467986067
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
1194895 Issued in CO
Practice address
320 N Academy Blvd
Suite 102
Colorado Springs, CO 80909-6644
Phone
(719) 375-3044
Fax
(719) 452-3858
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 1194895 CO Primary

Addresses

Primary practice location

320 N Academy Blvd
Suite 102
Colorado Springs, CO 80909-6644

Mailing address

320 N Academy Blvd
Suite 102
Colorado Springs, CO 80909-6644
Phone (719) 375-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1194895COMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Walk-in Tubs LLC Home Modifications PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1467986067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N ACADEMY BLVD",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096644",
            "telephone_number": "719-375-3044",
            "fax_number": "719-452-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N ACADEMY BLVD",
            "address_2": "SUITE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096644",
            "telephone_number": "719-375-3044",
            "fax_number": "719-452-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": "1194895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.