James Grant Walther
Individual provider Active NPI Home Modifications Contractor · Aurora, IN
NPI 1831695642 · NPPES record last updated Apr 2, 2018
Key facts
- NPI
- 1831695642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 16408 Jeanie Drive
Aurora, IN 45014 - Phone
- (513) 702-0261
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | IN | Yes |
Addresses
Primary practice location
16408 Jeanie Drive
Aurora, IN 45014
Mailing address
16408 Jeanie Drive
Aurora, IN 45014
Phone (513) 702-0261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824454651 | Other | FEDERAL TAX IDENTIFICATION NUMBER |
Other providers in Aurora, IN
- Voca Corporation of Indiana
- Voca in, LLC
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Monica Widener
- Melissa R. Yelanich
All providers in Aurora, IN · Home Modifications Contractor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.