MEDICARE: NAILED IT REMODELING RESTORATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1184577439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAILED IT REMODELING RESTORATION LLC

Provider Business Mailing Address
First Line	:	21066 PRAIRIE HILLS LN
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-9217
Country	:	US
Telephone Number	:	612-562-8075
Fax Number	:

Provider Business Practice Location Address
First Line	:	21066 PRAIRIE HILLS LN
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-9217
Country	:	US
Telephone Number	:	612-562-8075
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SCOTT CHARLES WRIGHT
Credential	:
Telephone Number	:	612-306-9697

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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