Active NPI
All-State Home Modifications LLC
- Home Modifications Contractor
- Douglassville, PA
National Provider Identifier
1629810858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- ALL-STATE HOME MODIFICATIONS LLC
- Practice address
- 602 Russell Ave
Douglassville, PA 19518-1221 - Phone
- (610) 256-1572
- NPI assigned
- Jun 10, 2024
- 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
- Mr. Robert Christian Melzi, MBA
- Title
- Sole MBR
- Phone
- (610) 256-1572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
602 Russell Ave
Douglassville, PA 19518-1221
Mailing address
602 Russell Ave
Douglassville, PA 19518-1221
Phone (610) 256-1572
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1629810858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 RUSSELL AVE",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181221",
"telephone_number": "610-256-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 RUSSELL AVE",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195181221",
"telephone_number": "610-256-1572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL-STATE HOME MODIFICATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "MELZI",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CHRISTIAN",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "610-256-1572",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglassville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.