Organization Active NPI

Lady Like Lingerie, LLC

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1184669707
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LADY LIKE LINGERIE, LLC
Practice address
7419 Callaghan Rd
San Antonio, TX 78229-2904
Phone
(210) 655-1300
Fax
(210) 615-1301
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mrs. Maria E Cortinas, CFM
Title
Managing Member
Phone
(210) 655-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

7419 Callaghan Rd
San Antonio, TX 78229-2904

Mailing address

7419 Callaghan Rd
San Antonio, TX 78229-2904
Phone (210) 655-1300

Other identifiers 4

IdentifierTypeStateIssuer
87726OtherTXSECURE HORIZONS DIRECT
1583215601MedicaidTX
183215602MedicaidTX
532420OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Lady Like Mastectomy Boutique Doing business as

National Provider Directory

National Provider Directory

Locations

7419 Callaghan Rd
San Antonio, TX 78229
Phone (210) 655-1300

4823 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 655-1300

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1184669707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292904",
            "telephone_number": "210-655-1300",
            "fax_number": "210-615-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292904",
            "telephone_number": "210-655-1300",
            "fax_number": "210-615-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY LIKE LINGERIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "CORTINAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-655-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS DIRECT",
            "identifier": "87726",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583215601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183215602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "532420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lady Like Mastectomy Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.