G Casamera Hair Salon & Day Spa, LLC.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

G CASAMERA HAIR SALON & DAY SPA, LLC.

Practice address

901 S 55TH St
Philadelphia, PA 19143-4005

Phone

(215) 474-4767

Fax

(215) 474-4767

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Gene Casamera Reavis III, CONPI 1659150696

Title

Owner

Phone

(215) 868-6964

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gene Casamera Reavis III, CO

  • Prosthetic/Orthotic Supplier
  • Phila, PA
  • NPI 1659150696
  NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1154101319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S 55TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434005",
            "telephone_number": "215-474-4767",
            "fax_number": "215-474-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 55TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191434005",
            "telephone_number": "215-474-4767",
            "fax_number": "215-474-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G CASAMERA HAIR SALON & DAY SPA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "CASAMERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-868-6964",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Futrick, DPT
• Futura Health System
• Future and Hope Home Care LLC
• Future Medical Supply & Pharmacy, LLC.
• Future Pharmacy Inc.
• G Town Smiles P.C.
• G. Winston Stubbs M.D., LTD
• G.O. Medical Associates
• G&a Somerton Pharmacy LLC
• G&G Health Care Services LTD.

• Prosthetic/Orthotic Supplier in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.