Organization Active NPI

Kandy S Beauty Plus Wellness Institute LLC

  • Family Medicine Physician
  • Mayfield HTS, OH
National Provider Identifier
1033988415
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KANDY S BEAUTY PLUS WELLNESS INSTITUTE LLC
Practice address
1450 Som Center Rd Ste 29
Mayfield HTS, OH 44124-2117
Phone
(216) 616-7610
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Keenya Steele
Title
Owner
Phone
(216) 925-8934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1450 Som Center Rd Ste 29
Mayfield HTS, OH 44124-2117

Mailing address

1450 Som Center Rd Ste 29
Mayfield HTS, OH 44124-2117

National Provider Directory

National Provider Directory

Locations

1450 Som Center Rd
Ste 29
Mayfield Heights, OH 44124
Phone (216) 616-7610

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1033988415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SOM CENTER RD STE 29",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SOM CENTER RD STE 29",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242117",
            "telephone_number": "216-616-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDY S BEAUTY PLUS WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "KEENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-925-8934"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.