The Mane Masterpiece LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

THE MANE MASTERPIECE LLC

Practice address

5357 Wyndtree LN SE
Grand Rapids, MI 49548-0837

Phone

(616) 916-9909

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Mikayla McMath

Title

Owner

Phone

(616) 916-9909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1245823392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5357 WYNDTREE LN SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495480837",
            "telephone_number": "616-916-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 WYNDTREE LN SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495480837",
            "telephone_number": "616-916-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANE MASTERPIECE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "MCMATH",
        "authorized_official_first_name": "MIKAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-916-9909"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.