JMS CUSTOM HOMES, LLC (NPI# 1669092003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669092003 |
| Entity Type | Organization |
| Organization Name | JMS CUSTOM HOMES, LLC |
| Practice Address |
6035 Culligan Way Minnetonka MN 55345-5918 |
| Practice Telephone | 9529493630 |
| Mailing Telephone | 9529493630 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | CHARLES ARNOLD RYAN (SALES AND MARKETING DIRECTOR) |
| Authorized Official Telephone | 6122904333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
6035 CULLIGAN WAY |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| 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 |
|---|---|---|---|---|
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1588078471 | Tim Cole | Contractor | 11300 Minnetonka Mills Rd, Minnetonka, MN 55305-5100 | 2014-06-18 |
| 1922431212 | Avaell Demere | Contractor | 11300 Minnetonka Mills Rd, Minnetonka, MN 55305-5100 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534730 | Linda Kellee Erickson | Contractor | 3810 Rum River Dr, Anoka, MN 55303-1103 | 2020-10-07 |
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1225641426 | Ibrahim Mohamud | Contractor | 1906 Clinton Ave Apt 105, Minneapolis, MN 55404-2752 | 2020-08-26 |
| 1295366029 | Randall Jay Sampson | Contractor | 24668 Hamlet Ave, Forest Lake, MN 55025-8781 | 2020-01-30 |
| 1730710401 | Ashley Schaefer | Contractor | 36073 Dolphin St Nw, Princeton, MN 55371-5274 | 2020-01-30 |
| 1710536123 | Gavin Quinn | Contractor | 11519 Arnold Palmer Dr, Blaine, MN 55449-5490 | 2019-09-09 |
| 1306490917 | Rosie Walker | Contractor | 1875 Dell St, White Bear Lake, MN 55110-5365 | 2019-07-31 |
| 1265096374 | Brett Tupy | Contractor | 7548 236th St E, Lakeville, MN 55044-9813 | 2019-04-24 |
| 1770045072 | Regina Kristine Toensing | Contractor | 6270 141st Ln Nw, Ramsey, MN 55303-5686 | 2019-04-04 |
| 1881152999 | Ryan Andrei Boyko | Contractor | 6555 Hillstrom Rd, Maple Plain, MN 55359-8749 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
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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.