NPIMap

Organization Active NPI

Desire Exotic Hair LLC

  • Community Health Clinic/Center
  • Provdence FRG, VA
National Provider Identifier
1164208013
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DESIRE EXOTIC HAIR LLC
Practice address
8929 Pocahontas TRL
Provdence FRG, VA 23140-3308
Phone
(718) 730-4705
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Miriam ChristianNPI 1447965413
Title
Ceo
Phone
(718) 730-4705

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

8929 Pocahontas TRL
Provdence FRG, VA 23140-3308

Mailing address

8929 Pocahontas TRL
Provdence FRG, VA 23140-3308
Phone (718) 730-4705

National Provider Directory

National Provider Directory

Locations

8929 Pocahontas Trl
Provdence Frg, VA 23140
Phone (718) 730-4705

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": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1164208013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 POCAHONTAS TRL",
            "city": "PROVDENCE FRG",
            "state": "VA",
            "postal_code": "231403308",
            "telephone_number": "718-730-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 POCAHONTAS TRL",
            "city": "PROVDENCE FRG",
            "state": "VA",
            "postal_code": "231403308",
            "telephone_number": "718-730-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRE EXOTIC HAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-730-4705"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.