GRAEAGLE CONSTRUCTION LLC NPI 1982760971

NPI Information

NPI: 1982760971
Provider Name: GRAEAGLE CONSTRUCTION LLC
Classification: Contractor - 171WH0202X
Entity Type: Organization

Specialization: Home Modifications

Address:
5016 CECILE AVE
LAS VEGAS, NV
ZIP 89115
Phone: (702) 248-0170
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GRAEAGLE CONSTRUCTION LLC is a home modifications contractor in Las Vegas, NV. GRAEAGLE CONSTRUCTION LLC NPI is 1982760971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5016 CECILE AVE
LAS VEGAS, NV
ZIP 89115-446
Phone: (702) 248-0170
Fax: (702) 248-7093

The provider's authorized official is Raina Scribner .
The authorized official title is Controller and has the following contact phone number (702) 248-0170.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/8/2016.

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	52659	NEVADA	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	100505970	MEDICARE ID-TYPE UNSPECIFIED	NEVADA	ADA MODIFICATION

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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