Organization Active NPI

Poulin Design Remodeling Inc

  • Home Modifications Contractor
  • Albuquerque, NM
National Provider Identifier
1619385044
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
21850 Issued in NM
Legal business name
POULIN DESIGN REMODELING INC
Practice address
2426 Washington St NE
Albuquerque, NM 87110-3911
Phone
(505) 880-2500
Fax
(505) 880-0626
NPI assigned
Jul 29, 2014
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Mr. Thomas Poulin
Title
President/Ceo
Phone
(505) 880-2516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 21850 NM Primary

Addresses

Primary practice location

2426 Washington St NE
Albuquerque, NM 87110-3911

Mailing address

2426 Washington St NE
Albuquerque, NM 87110-3911
Phone (505) 880-2500

National Provider Directory

National Provider Directory

Locations

2426 Washington St NE
Albuquerque, NM 87110
Phone (505) 880-2500

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1619385044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 WASHINGTON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103911",
            "telephone_number": "505-880-2500",
            "fax_number": "505-880-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 WASHINGTON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103911",
            "telephone_number": "505-880-2500",
            "fax_number": "505-880-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULIN DESIGN REMODELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "505-880-2516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NM",
            "license": "21850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.