Provider Demographics
NPI:1548472483
Name:ROJOHN HOME IMPROVEMENT INC.
Entity type:Organization
Organization Name:ROJOHN HOME IMPROVEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-576-6301
Mailing Address - Street 1:429 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-3707
Mailing Address - Country:US
Mailing Address - Phone:515-576-6301
Mailing Address - Fax:515-955-5295
Practice Address - Street 1:429 1ST AVE S
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3707
Practice Address - Country:US
Practice Address - Phone:515-576-6301
Practice Address - Fax:515-955-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0480095171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0480095Medicaid