Organization Active NPI

Divine Restoration Hair Services LLC

  • Prosthetics Case Management
  • Aiken, SC
National Provider Identifier
1194493247
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
DIVINE RESTORATION HAIR SERVICES LLC
Practice address
649 Morgan St NW
Aiken, SC 29801-3539
Phone
(803) 638-8261
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Amber Renee Winfield
Title
Certified Hair Loss Specialist
Phone
(803) 683-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

649 Morgan St NW
Aiken, SC 29801-3539

Mailing address

933 Pine Log Rd # 1030
Aiken, SC 29803-7330
Phone (803) 638-8261

National Provider Directory

National Provider Directory

Locations

933 Pine Log Rd
Aiken, SC 29803
Phone (803) 761-0262

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1194493247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PINE LOG RD # 1030",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037330",
            "telephone_number": "803-638-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MORGAN ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013539",
            "telephone_number": "803-638-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RESTORATION HAIR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "WINFIELD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "803-683-8261"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.