Organization Active NPI

Samson Jagger Construction, LLC

  • Home Modifications Contractor
  • Seven Hills, OH
National Provider Identifier
1891186714
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
2210563 Issued in OH
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

Updated by the provider on Jul 25, 2025

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3100110MedicaidOH

Other names 1

  • Creative Bath Systems, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.