Advanced Interior Construction LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

ADVANCED INTERIOR CONSTRUCTION LLC

Practice address

11515 Gamel Cemetery Rd
Festus, MO 63028-2310

Phone

(636) 208-7967

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Eric WilliamsNPI 1154983518

Title

Owner

Phone

(314) 807-9233

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Eric Williams

  • Home Modifications Contractor
  • Festus, MO
  • NPI 1154983518
  NPD (past) Authorized official

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1912569245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 GAMEL CEMETERY RD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 GAMEL CEMETERY RD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282310",
            "telephone_number": "636-208-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERIOR CONSTRUCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-807-9233"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilliams@advancedinteriorsllc.com",
            "affiliation": "N",
            "address_1": "11515 Gamel Cemetery Rd",
            "city": "Festus",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630282310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Modifications Contractor in Festus, MO
• Providers in Festus, MO by specialty
• Home Modifications Contractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.