Elite Barber Spa LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

ELITE BARBER SPA LLC

Practice address

820 Central Avenue
Suite E
Summerville, SC 29483

Phone

(843) 475-1033

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Nugent Hill

Title

Owner/Operator

Phone

(843) 475-1033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1063901072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NATCHEZ KUSSO ROAD",
            "city": "RIDGEVILLE",
            "state": "SC",
            "postal_code": "29472",
            "telephone_number": "843-475-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CENTRAL AVENUE",
            "address_2": "SUITE E",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483",
            "telephone_number": "843-475-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BARBER SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "NUGENT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "843-475-1033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Junior Ellerbe II
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• Corinne Elliott, FNP-C

• Prosthetics Case Management in Summerville, SC
• Providers in Summerville, 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 Jan 6, 2025; 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.