Paragon Restoration & Building, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

20161423 Issued in CO

Legal business name

PARAGON RESTORATION & BUILDING, INC.

Practice address

205 S. 15TH St.
Grand Junction, CO 81501

Phone

(970) 241-2180

Fax

(970) 241-0249

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. B. Daniel Washington

Title

Secretary / Treasurer

Phone

(970) 241-2180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1801342597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 15TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014611",
            "telephone_number": "970-241-2180",
            "fax_number": "970-241-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S. 15TH ST.",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-241-2180",
            "fax_number": "970-241-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON RESTORATION & BUILDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "970-241-2180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": "20161423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72106824",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Grand Junction, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.