Diversified Contractors, LLC

Key facts

NPI

1841600434

Entity type

Organization (NPI type 2)

Primary specialty

Preferred Provider Organization 305R00000X

License

0001153362 (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

Organization subpart

No

Authorized official

Name

Ms. Eleanor Rose Craighead, RN, BSN NPI 1518289081

Title

Owner/Sole Proprietor

Phone

(276) 692-6092

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleanor Rose Craighead, RN Registered Nurse · Spencer, VA · NPI 1518289081
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2014.

{
    "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": []
}

Other providers in Spencer, VA

• 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.
• Ques Transport LLC
• Sharon V. Scales

All providers in Spencer, VA · Preferred Provider Organization in Virginia