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TIMOTHY JOHN STEPHENS
NPI 1053077024
Contractor - Home Modifications in Big Lake, MN

Active since November 13, 2021
22251 169TH ST NW, BIG LAKE, MN 55309(612) 710-8451 Get Directions Write a Review

NPPES record last updated: November 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy John Stephens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JOHN STEPHENS (NPI 1053077024) is an individual home modifications provider in Big Lake, Minnesota, licensed in Minnesota (BC767187) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1053077024
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NameTIMOTHY JOHN STEPHENS
Location Address22251 169TH ST NWBig Lake, MN 55309-8220
Mailing Address22251 169th St NwBig Lake, MN 55309-8220 · (612) 710-8451
Phone(612) 710-8451
Sole ProprietorYes
Enumeration DateNovember 13, 2021
NPPES CertifiedNovember 13, 2021
✔ NPI 1053077024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
License✔ Licensed in MN · BC767187
Definition

A contractor who makes modifications to homes to accommodate a health condition.

22251 169TH ST NW, Big Lake, MN 55309
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Stephens's NPI number?

The NPI number for Timothy Stephens is 1053077024. It was assigned to this individual provider in the NPPES registry on November 13, 2021.

Where is Timothy Stephens located?

Timothy Stephens practices at 22251 169th St NW, Big Lake, MN 55309. The listed phone number is (612) 710-8451.

What is Timothy Stephens's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Timothy Stephens was last updated on November 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.