Provider Demographics
NPI:1497204259
Name:DESIGN VIEW CONSTRUCTION, LLC
Entity Type:Organization
Organization Name:DESIGN VIEW CONSTRUCTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ GC
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALESSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-341-1389
Mailing Address - Street 1:700 COLORADO BLVD
Mailing Address - Street 2:#421
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13303 E. ADAM AIRCRAFT CIR
Practice Address - Street 2:C25
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4787
Practice Address - Country:US
Practice Address - Phone:303-957-2608
Practice Address - Fax:303-957-5706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO238607171WH0202X
171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO25433351Medicaid