Complete Image of Hair Designs Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COMPLETE IMAGE OF HAIR DESIGNS INC.

Doing business as

Complete Image

Practice address

6555 Wilson Mills Road Ste 105
Mayfield Villiage, OH 44143

Phone

(440) 461-4247

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Renae Therese MillerNPI 1578151874

Title

Owner

Phone

(440) 461-4247

Specialties & licenses 3

Addresses

Other names 1

• Complete Image Doing business as

Locations

Practitioners 1

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

• Renae Therese Miller, HLPC COSM

  • Mastectomy Fitter
  • Cleveland, OH
  • NPI 1578151874

  Prosthetic/Orthotic Supplier

  NPD Authorized official

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1114227998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 WILSON MILLS RD STE 105",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433435",
            "telephone_number": "440-461-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WILSON MILLS ROAD STE 105",
            "city": "MAYFIELD VILLIAGE",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "440-461-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE IMAGE OF HAIR DESIGNS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-461-4247"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "OH",
            "license": "HDS. 061085",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Image",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.