Active NPI
Samson Jagger Construction, LLC
- Home Modifications Contractor
- Seven Hills, OH
National Provider Identifier
1891186714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 2210563
- Legal business name
- SAMSON JAGGER CONSTRUCTION, LLC
- Doing business as
- Creative Bath Systems, LLC
- Practice address
- 7565 Broadview Rd Ste 1
Seven Hills, OH 44131-5751 - Phone
- (330) 467-2227
- Fax
- (216) 264-8017
- NPI assigned
- Feb 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert P Caravona
- Title
- President
- Phone
- (330) 467-2227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 2210563 | OH | Primary |
Addresses
Primary practice location
7565 Broadview Rd Ste 1
Seven Hills, OH 44131-5751
Mailing address
7565 Broadview Rd Ste 1
Seven Hills, OH 44131-5751
Phone (330) 467-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3100110 | Medicaid | OH |
Other names 1
- Creative Bath Systems, LLC
National Provider Directory
National Provider DirectoryLocations
51 Meadow Ln
Ste C
Northfield, OH 44067
7565 Broadview Rd
Ste 1
Seven Hills, OH 44131
Phone (330) 467-2227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1891186714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7565 BROADVIEW RD STE 1",
"city": "SEVEN HILLS",
"state": "OH",
"postal_code": "441315751",
"telephone_number": "330-467-2227",
"fax_number": "216-264-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7565 BROADVIEW RD STE 1",
"city": "SEVEN HILLS",
"state": "OH",
"postal_code": "441315751",
"telephone_number": "330-467-2227",
"fax_number": "216-264-8017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMSON JAGGER CONSTRUCTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-13",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "CARAVONA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-467-2227",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": "OH",
"license": "2210563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3100110",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Creative Bath Systems, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seven Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.