NPIMap

Organization Active NPI

E.M. Exotic Hair Creation & Supply Inc

  • Prosthetics Case Management
  • Wellington, FL
National Provider Identifier
1043749518
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CE10000534 Issued in FL
Legal business name
E.M. EXOTIC HAIR CREATION & SUPPLY INC
Practice address
10300 Forest Hill Blvd Ste 270
Wellington, FL 33414-3130
Phone
(561) 200-2820
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Authorized official

Name
Ms. Evelyn Metellus, HAIR LOSS SPECIALIST
Title
President
Phone
(561) 574-0597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X CE10000534 FL Primary

Addresses

Primary practice location

10300 Forest Hill Blvd Ste 270
Wellington, FL 33414-3130

Mailing address

10300 Forest Hill Blvd
Wellington, FL 33414-3120
Phone (561) 200-2820

National Provider Directory

National Provider Directory
Tax ID family
Em Exotic Hair Creation Supply Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10233 Okeechobee Blvd
Ste B10
West Palm Beach, FL 33411

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780790400000",
    "number": "1043749518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143120",
            "telephone_number": "561-200-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 FOREST HILL BLVD STE 270",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143130",
            "telephone_number": "561-200-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.M. EXOTIC HAIR CREATION & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "METELLUS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-574-0597",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CE10000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; 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.