Organization Active NPI

Sapphire and Son'S Construction Company

  • Home Modifications Contractor
  • Conyers, GA
National Provider Identifier
1609694637
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
SAPPHIRE AND SON'S CONSTRUCTION COMPANY
Practice address
1315 Milstead Rd NE Ste 102
Conyers, GA 30012-3824
Phone
(470) 217-8445
Fax
(470) 300-7778
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Ella Stephenson
Title
Administrator
Phone
(470) 217-8445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X Primary
Vehicle Modifications Contractor 171WV0202X

Addresses

Primary practice location

1315 Milstead Rd NE Ste 102
Conyers, GA 30012-3824

Mailing address

1315 Milstead Rd NE Ste 102
Conyers, GA 30012-3824
Phone (470) 217-8445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1609694637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MILSTEAD RD NE STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123824",
            "telephone_number": "470-217-8445",
            "fax_number": "470-300-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MILSTEAD RD NE STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123824",
            "telephone_number": "470-217-8445",
            "fax_number": "470-300-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE AND SON'S CONSTRUCTION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-217-8445"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.