Organization Active NPI

The Hair Resuscitation Place

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
National Provider Identifier
1104594928
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE HAIR RESUSCITATION PLACE
Practice address
130 Southport Rd
Spartanburg, SC 29306-3861
Phone
(864) 497-9823
NPI assigned
Sep 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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

Authorized official

Name
Jakinna Shiparri Lynch, HLPC, MHCSNPI 1669140489
Title
Hair Loss Practitioner
Phone
(864) 497-9823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

130 Southport Rd
Spartanburg, SC 29306-3861

Mailing address

130 Southport Rd
Spartanburg, SC 29306-3861
Phone (864) 497-9823

Other names 1

  • Hair Resuscitation Place Other name

National Provider Directory

National Provider Directory

Locations

130 Southport Rd
Spartanburg, SC 29306
Phone (864) 497-9823

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1104594928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHPORT RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063861",
            "telephone_number": "864-497-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SOUTHPORT RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063861",
            "telephone_number": "864-497-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAIR RESUSCITATION PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JAKINNA",
        "authorized_official_middle_name": "SHIPARRI",
        "authorized_official_title_or_position": "HAIR LOSS PRACTITIONER",
        "authorized_official_telephone_number": "864-497-9823",
        "authorized_official_credential": "HLPC, MHCS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hair Resuscitation Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.