Provider Demographics
NPI:1669092003
Name:JMS CUSTOM HOMES, LLC
Entity type:Organization
Organization Name:JMS CUSTOM HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES AND MARKETING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-290-4333
Mailing Address - Street 1:6035 CULLIGAN WAY
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-5918
Mailing Address - Country:US
Mailing Address - Phone:952-949-3630
Mailing Address - Fax:
Practice Address - Street 1:6035 CULLIGAN WAY
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-5918
Practice Address - Country:US
Practice Address - Phone:952-949-3630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty