Diversified Contractors, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0001153362 Issued in VA

Legal business name

DIVERSIFIED CONTRACTORS, LLC

Practice address

1731 Evergreen Dr
Spencer, VA 24165-3057

Phone

(276) 692-6092

Fax

(276) 957-2402

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Eleanor Rose Craighead, RN, BSNNPI 1518289081

Title

Owner/Sole Proprietor

Phone

(276) 692-6092

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eleanor Rose Craighead, RN

  • Registered Nurse
  • Spencer, VA
  • NPI 1518289081
  NPD (past) Authorized official

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1841600434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 EVERGREEN DR",
            "city": "SPENCER",
            "state": "VA",
            "postal_code": "241653057",
            "telephone_number": "276-692-6092",
            "fax_number": "276-957-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 EVERGREEN DR",
            "city": "SPENCER",
            "state": "VA",
            "postal_code": "241653057",
            "telephone_number": "276-692-6092",
            "fax_number": "276-957-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED CONTRACTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "CRAIGHEAD",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "276-692-6092",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0001153362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Beard Ashley, FNP
• Eleanor Rose Craighead, RN
• Megan Ashley D'Agostino, RBT
• Lisa Renee' Elmore
• Shermale H Motley, MS, CRC, RIC
• Pioneer Health Services of Patrick County, Inc. (Pioneer Family Medical of Spencer)
• Ques Transport LLC
• Sharon V. Scales

• Preferred Provider Organization in Spencer, VA
• Providers in Spencer, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.