Active NPI
Lavea Lace Custom Wigs and Hairpieces LLC
- Prosthetic/Orthotic Supplier
- Calumet City, IL
National Provider Identifier
1225960453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LAVEA LACE CUSTOM WIGS AND HAIRPIECES LLC
- Practice address
- 1382 Mackinaw Ave
Calumet City, IL 60409-5928 - Phone
- (708) 916-5093
- NPI assigned
- Jun 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hakeem Gayden
- Title
- Owner
- Phone
- (708) 916-5093
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1382 Mackinaw Ave
Calumet City, IL 60409-5928
Mailing address
18141 Dixie Hwy Ste 202
Homewood, IL 60430-2243
Phone (708) 916-5093
National Provider Directory
National Provider DirectoryPractitioners & 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": "1780272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1225960453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18141 DIXIE HWY STE 202",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302243",
"telephone_number": "708-916-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1382 MACKINAW AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095928",
"telephone_number": "708-916-5093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVEA LACE CUSTOM WIGS AND HAIRPIECES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "GAYDEN",
"authorized_official_first_name": "HAKEEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-916-5093"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.