CUSTOM CONSTRUCTION SERVICES (NPI# 1922502038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922502038 |
| Entity Type | Organization |
| Organization Name | CUSTOM CONSTRUCTION SERVICES |
| Practice Address |
5225 Sodbuster Trl Colorado Springs CO 80917-1817 |
| Practice Telephone | 7194749988 |
| Mailing Telephone | 7194749988 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | BARBARA JOAN MARTINEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7194749988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 22126 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PIKES PEAK REGIONAL BUILDING | 22126 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CUSTOM CONSTRUCTION SERVICES | 12454 Cherry St, Thornton, CO 80241 |
| Oregon Corporations, Companies and Business Names | CUSTOM CONSTRUCTION SERVICES | 2475 N Baker Dr, Canby, OR 97013 |
| Colorado Business Entities | Custom Construction Services LLC | 5225 Sodbuster Trail, Colorado Springs, CO 80917 |
| Street Address |
5225 SODBUSTER TRL |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891100 | Chagoll Brown | Contractor | 9736 Wando Dr, Colorado Springs, CO 80925-8447 | 2019-06-21 |
| 1184152563 | Wellness Walk-in Tubs LLC | Contractor | 320 N Academy Blvd Ste 102, Colorado Springs, CO 80909-6621 | 2017-05-30 |
| 1033645841 | Tiffany Gray | Contractor | 420 Farrs Ct, Apt 23, Colorado Springs, CO 80903-3160 | 2017-05-11 |
| 1184073314 | Monique Flemings | Contractor | 693 Bridger Dr, Colorado Springs, CO 80909-5454 | 2016-06-08 |
| 1346625621 | Tia Claybrook | Contractor | 1506 Zaiger Pl, Colorado Springs, CO 80915-2248 | 2015-07-28 |
| 1851770382 | Maria Herald | Contractor | 3807 Cambria Pl, Colorado Springs, CO 80918-2362 | 2015-05-29 |
| 1770978397 | Cricket Melody Sons | Contractor | 4546 Bella Dr, Colorado Springs, CO 80918-7200 | 2015-03-31 |
| 1114325248 | Beverly Benavidez | Contractor | 2657 Stonecrop Ridge Grv, Colorado Springs, CO 80910-4459 | 2014-12-04 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1609172626 | Tanya Apuron | Contractor | 1022 E Jefferson St Ste E, Colorado Springs, CO 80907-7125 | 2011-02-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.