1497204259 NPI number — DESIGN VIEW CONSTRUCTION, LLC

Table of content: (NPI 1497204259)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497204259 NPI number — DESIGN VIEW CONSTRUCTION, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DESIGN VIEW CONSTRUCTION, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497204259
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 COLORADO BLVD
Provider Second Line Business Mailing Address:
#421
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80206-4084
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13303 E. ADAM AIRCRAFT CIR
Provider Second Line Business Practice Location Address:
C25
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-4787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-957-2608
Provider Business Practice Location Address Fax Number:
303-957-5706
Provider Enumeration Date:
09/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ZALESSKY
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ GC
Authorized Official Telephone Number:
720-341-1389

Provider Taxonomy Codes

  • Taxonomy code: 171WH0202X , with the licence number:  238607 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171WH0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 25433351 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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