Homestyle Builder, Inc,

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

BC-721586 Issued in MN

Legal business name

HOMESTYLE BUILDER, INC,

Practice address

886 138TH Ave NW
Andover, MN 55304-4100

Phone

(612) 270-4049

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Peter A Haack

Title

Ceo

Phone

(612) 270-4049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1801378534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 138TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044100",
            "telephone_number": "612-270-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 138TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044100",
            "telephone_number": "612-270-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTYLE BUILDER, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "HAACK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-270-4049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "BC-721586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ronald Hoffman, LPCC
• Amanda Christine Hohag, M.S.
• Jennifer Holdredge, M.A., L.M.F.T.
• Rochelle M Holste, MS, CCC-SLP
• Home Care Plus LLC
• Lisa Ann Horner, APRN CNP
• Lisa Houska, OTR/L
• Lindsey Hove
• Gary Scott Howard, STUDENT/INTERN
• Jacqueline Renae Howard, NP

• Home Modifications Contractor in Andover, MN
• Providers in Andover, MN by specialty
• Home Modifications Contractor in Minnesota

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

Verify at the official NPI Registry.