Organization Active NPI

Healings Hands Hair Restoration Center LLC

  • Prosthetics Case Management
  • Columbia, SC
National Provider Identifier
1114512423
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
HEALINGS HANDS HAIR RESTORATION CENTER LLC
Doing business as
Healing Hands Hair Restoration Center
Practice address
1904 Academy St Ste B
Columbia, SC 29203-6958
Phone
(803) 708-2212
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Gwendolyn L Davis, CERTIFIED HAIR LOSSNPI 1700581345
Title
President
Phone
(803) 708-2212

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X Primary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1904 Academy St Ste B
Columbia, SC 29203-6958

Mailing address

1904 Academy St Ste B
Columbia, SC 29203-6958
Phone (803) 708-2212

Other names 1

  • Healing Hands Hair Restoration Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Desktop

National Provider Directory

National Provider Directory

Locations

1904 Academy St
Ste B
Columbia, SC 29203
Phone (803) 708-2212

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1114512423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 ACADEMY ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036958",
            "telephone_number": "803-708-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ACADEMY ST STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036958",
            "telephone_number": "803-708-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALINGS HANDS HAIR RESTORATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-708-2212",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "1904 Academy St Ste B",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292036958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healing Hands Hair Restoration Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.