NPIMap

Organization Active NPI

Reviving Crowns Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1326746348
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REVIVING CROWNS SOLUTIONS LLC
Practice address
1812 N Brown Rd Ste 30-113
Lawrenceville, GA 30043-1801
Phone
(770) 580-2380
Fax
(770) 628-5144
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Marquisha Shankeia General, HAIR LOSS SPECIALIST
Title
Owner
Phone
(770) 580-2380

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1812 N Brown Rd Ste 30-113
Lawrenceville, GA 30043-1801

Mailing address

3379 Peachtree Rd NE Ste 655-S24
Atlanta, GA 30326-1031
Phone (770) 580-2380

Other names 1

  • Reviving Crowns Solutions llc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Reviving Crowns Solutions LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3379 Peachtree Rd NE
#655S24
Atlanta, GA 30326

680 Hillcrest Rd NW
Lilburn, GA 30047

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1326746348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 655-S24",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "770-580-2380",
            "fax_number": "770-628-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N BROWN RD STE 30-113",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300431801",
            "telephone_number": "770-580-2380",
            "fax_number": "770-628-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVING CROWNS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "GENERAL",
        "authorized_official_first_name": "MARQUISHA",
        "authorized_official_middle_name": "SHANKEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-580-2380",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reviving Crowns Solutions llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.