Organization Active NPI

Highland Construction, LLC

  • Home Modifications Contractor
  • Las Vegas, NM
National Provider Identifier
1669869988
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
384112 Issued in NM
Legal business name
HIGHLAND CONSTRUCTION, LLC
Practice address
614 8TH St
Las Vegas, NM 87701-4251
Phone
(505) 425-3644
Fax
(505) 454-0787
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Mr. Michael Quintana
Title
Sole Owner
Phone
(505) 425-3644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X 384112 NM Primary

Addresses

Primary practice location

614 8TH St
Las Vegas, NM 87701-4251

Mailing address

614 8TH St
Las Vegas, NM 87701-4251
Phone (505) 425-3644

National Provider Directory

National Provider Directory

Locations

614 8th St
Las Vegas, NM 87701
Phone (505) 425-3644

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1669869988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 8TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014251",
            "telephone_number": "505-425-3644",
            "fax_number": "505-454-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 8TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014251",
            "telephone_number": "505-425-3644",
            "fax_number": "505-454-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND CONSTRUCTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "505-425-3644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "NM",
            "license": "384112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.