Organization Active NPI

KC Construction, Inc

  • Home Modifications Contractor
  • Castle Rock, CO
National Provider Identifier
1902258387
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
241265 Issued in CO
Legal business name
KC CONSTRUCTION, INC
Practice address
4319 Chateau Ridge Rd
Castle Rock, CO 80108-8424
Phone
(303) 807-1019
Fax
(303) 683-1527
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Karen K CombaNPI 1508225004
Title
President
Phone
(303) 807-1019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X 241265 CO Primary

Addresses

Primary practice location

4319 Chateau Ridge Rd
Castle Rock, CO 80108-8424

Mailing address

4319 Chateau Ridge Rd
Castle Rock, CO 80108-8424
Phone (303) 807-1019

Other identifiers 1

IdentifierTypeStateIssuer
95320032MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1902258387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 CHATEAU RIDGE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088424",
            "telephone_number": "303-807-1019",
            "fax_number": "303-683-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 CHATEAU RIDGE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088424",
            "telephone_number": "303-807-1019",
            "fax_number": "303-683-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CONSTRUCTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "COMBA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-807-1019"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": "241265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95320032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.