Quad Cities Remodeling

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

QUAD CITIES REMODELING

Practice address

605 E Main St
Grand Prairie, TX 75050-5832

Phone

(469) 386-5067

Fax

(877) 362-9841

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Felipe Jessie Gonzales

Title

Owner / Manager

Phone

(469) 386-5067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1962796409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505832",
            "telephone_number": "469-386-5067",
            "fax_number": "877-362-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505832",
            "telephone_number": "469-386-5067",
            "fax_number": "877-362-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES REMODELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_middle_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "469-386-5067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Modifications Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.