Organization
EJS CONSTRUCTION AND DEVELOPMENT, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST J SANTISTEVAN (ENTREPRENEUR)
(505) 249-1940
Entity
Organization
Contact information
Practice address
2120 MANCHESTER PL NW, ALBUQUERQUE, NM 87107-3091
(505) 249-1940
(505) 344-8121
Mailing address
2120 MANCHESTER PL NW, ALBUQUERQUE, NM 87107-3091
(505) 249-1940
(505) 344-8121
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
352675
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352675
GENERAL CONTRACTORS LICENSE
NM
05
—
70282536
—
NM
Enumeration date
02/24/2009
Last updated
02/25/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up