Owner Builder Assistance Corp

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

CGC038404 Issued in FL

Legal business name

OWNER BUILDER ASSISTANCE CORP

Practice address

2357 SW Antiquera St
Port St Lucie, FL 34953-2436

Phone

(561) 339-9575

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Donald Lee Malone

Title

President

Phone

(561) 339-9575

Specialties & licenses 1

Addresses

Other names 1

• Owner Builder Assistance Corp dba HandyPro of SE Florida Former legal business name

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1912308990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 SW ANTIQUERA ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532436",
            "telephone_number": "561-339-9575",
            "fax_number": "772-236-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 SW ANTIQUERA ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532436",
            "telephone_number": "561-339-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWNER BUILDER ASSISTANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-339-9575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CGC038404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owner Builder Assistance Corp dba HandyPro of SE Florida",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Modifications Contractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.