Active NPI
MVM Home Improvement, Inc
- Home Modifications Contractor
- Southampton, PA
National Provider Identifier
1689173304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- PA136624
- Legal business name
- MVM HOME IMPROVEMENT, INC
- Practice address
- 1040 School LN
Southampton, PA 18966-4712 - Phone
- (561) 676-8589
- NPI assigned
- Feb 8, 2018
- 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
- Maryana Gorivodskaya
- Title
- Coo
- Phone
- (917) 957-7774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | PA136624 | PA | Primary |
Addresses
Primary practice location
1040 School LN
Southampton, PA 18966-4712
Mailing address
1040 School LN
Southampton, PA 18966-4712
Phone (561) 676-8589
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518048000000",
"number": "1689173304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SCHOOL LN",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664712",
"telephone_number": "561-676-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 SCHOOL LN",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664712",
"telephone_number": "561-676-8589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MVM HOME IMPROVEMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A",
"authorized_official_last_name": "GORIVODSKAYA",
"authorized_official_first_name": "MARYANA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "917-957-7774"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": "PA",
"license": "PA136624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.