GRANDTAG MADISONREALTY LLC
NPI 1730678756
Contractor in Claremont, CA

Active since May 04, 2018
501 S COLLEGE AVE, CLAREMONT, CA 91711(909) 686-0117 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grandtag Madisonrealty Llc NPPES

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

GRANDTAG MADISONREALTY LLC (NPI 1730678756) is a healthcare organization registered as a contractor in Claremont, California and active in the NPI registry since May 2018. The organization lists Forbes Willard Burdette, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1730678756
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameGRANDTAG MADISONREALTY LLC
Location Address501 S COLLEGE AVEClaremont, CA 91711-5527
Mailing Address3452 E Foothill Blvd Ste 200Pasadena, CA 91107-3158 · (626) 796-8700
Organization SubpartNo
Authorized OfficialForbes Willard BurdetteManaging Director · (626) 796-8700
Enumeration DateMay 4, 2018
NPI 1730678756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
501 S COLLEGE AVE, Claremont, CA 91711

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
501 S COLLEGE AVE
CLAREMONT, CA 91711
Assisted Living Facility
501 S COLLEGE AVE
CLAREMONT, CA 91711
Assisted Living Facility
501 S COLLEGE AVE
CLAREMONT, CA 91711
Assisted Living Facility
501 S COLLEGE AVE
CLAREMONT, CA 91711

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 Grandtag Madisonrealty LLC's NPI number?

The NPI number for Grandtag Madisonrealty LLC is 1730678756. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Grandtag Madisonrealty LLC located?

Grandtag Madisonrealty LLC is located at 501 S College Ave, Claremont, CA 91711. The listed phone number is (909) 686-0117.

What is Grandtag Madisonrealty LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Grandtag Madisonrealty LLC was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.