SAMSON JAGGER CONSTRUCTION LLC NPI 1891186714

NPI Information

NPI: 1891186714
Provider Name: SAMSON JAGGER CONSTRUCTION, LLC

Doing Business As: CREATIVE BATH SYSTEMS, LLC

Classification: Contractor - 171WH0202X
Entity Type: Organization

Specialization: Home Modifications

Address:
51 MEADOW LN STE C
NORTHFIELD, OH
ZIP 44067
Phone: (330) 467-2227
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SAMSON JAGGER CONSTRUCTION, LLC is a home modifications contractor in Northfield, OH. SAMSON JAGGER CONSTRUCTION, LLC NPI is 1891186714. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creative Bath Systems, Llc.

The provider's business location address is:

51 MEADOW LN STE C
NORTHFIELD, OH
ZIP 44067-475
Phone: (330) 467-2227
Fax: (330) 467-2229

The provider's authorized official is Robert P Caravona .
The authorized official title is President and has the following contact phone number (330) 467-2227.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 2/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	2210563	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3100110	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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