Exxclusive H20 Inc

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

EXXCLUSIVE H20 INC

Practice address

6 E Clarke PL
Bronx, NY 10452-7501

Phone

(646) 325-4841

Fax

(646) 410-0244

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Latiqua D Williams, CERTIFIED HAIR LOSS

Title

Ceo/ Founder

Phone

(646) 325-4841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Exxcluisve Hair Inc Hair Replacement Doing business as

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1033570767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 1ST AVE APT 212",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293322",
            "telephone_number": "646-325-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E CLARKE PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104527501",
            "telephone_number": "646-325-4841",
            "fax_number": "646-410-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXXCLUSIVE H20 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATIQUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/ FOUNDER",
        "authorized_official_telephone_number": "646-325-4841",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAIR LOSS SPECIALIST",
            "identifier": "1744P3200X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exxcluisve Hair Inc Hair Replacement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetics Case Management in Bronx, NY
• Providers in Bronx, NY by specialty
• Prosthetics Case Management in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.