Carolina Hair Rejuvenation Clinic LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

55548 Issued in SC

Legal business name

CAROLINA HAIR REJUVENATION CLINIC LLC

Practice address

651 Saint Andrews Rd
Columbia, SC 29210-5112

Phone

(800) 719-0061

NPI assigned

Jun 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lakisha M AshfordNPI 1447754288

Title

President

Phone

(800) 719-0061

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakisha Martesa Ashford, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • Columbia, SC
  • NPI 1447754288
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1003308248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 HALLECK LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298096",
            "telephone_number": "800-719-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105112",
            "telephone_number": "800-719-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HAIR REJUVENATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-719-0061"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "55548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Family Wellness Clinic, LLC
• Carolina Family Wellness Collaborative
• Carolina Foot Clinic, P.C.
• Carolina Glaucoma and Vision Center
• Carolina Gold Construction, LLC
• Carolina Healht & Wellness Center, LLC
• Carolina Health and Wellness
• Carolina Health Care, Inc.
• Carolina Healthchoice of Columbia, LLC
• Carolina Interventional Pain Institute, LLC

• Prosthetics Case Management in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.