Organization Active NPI

Vanity Room LLC

  • Prosthetic/Orthotic Supplier
  • Beachwood, OH
National Provider Identifier
1124951413
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VANITY ROOM LLC
Practice address
25485 Concord Dr
Beachwood, OH 44122-6022
Phone
(216) 303-2929
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Iyuana Ivey
Title
Owner
Phone
(216) 303-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

25485 Concord Dr
Beachwood, OH 44122-6022

Mailing address

25485 Concord Dr
Beachwood, OH 44122-6022
Phone (216) 303-2929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1124951413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25485 CONCORD DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226022",
            "telephone_number": "216-303-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25485 CONCORD DR",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226022",
            "telephone_number": "216-303-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANITY ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "IYUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-303-2929"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.