Provider Demographics
NPI:1588227003
Name:COMMUNITY RENOVATIONS INC.
Entity Type:Organization
Organization Name:COMMUNITY RENOVATIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBAJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-732-5904
Mailing Address - Street 1:P.O. BOX 779
Mailing Address - Street 2:
Mailing Address - City:GROSSE ILE
Mailing Address - State:MI
Mailing Address - Zip Code:48138
Mailing Address - Country:US
Mailing Address - Phone:734-732-5904
Mailing Address - Fax:734-795-4646
Practice Address - Street 1:23398 GOLFVIEW DR
Practice Address - Street 2:
Practice Address - City:GROSSE ILE
Practice Address - State:MI
Practice Address - Zip Code:48138-2249
Practice Address - Country:US
Practice Address - Phone:734-732-5904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty