The Lavish Beauty Palace, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE LAVISH BEAUTY PALACE, LLC

Practice address

6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500

Phone

(844) 528-4247

Fax

(844) 528-4247

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie Shakesha Page

Title

Co Founder

Phone

(844) 528-4247

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1114569290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 DEMOCRACY BLVD STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177500",
            "telephone_number": "844-528-4247",
            "fax_number": "844-528-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 DEMOCRACY BLVD STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177500",
            "telephone_number": "844-528-4247",
            "fax_number": "844-528-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAVISH BEAUTY PALACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "SHAKESHA",
        "authorized_official_title_or_position": "CO FOUNDER",
        "authorized_official_telephone_number": "844-528-4247",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.