In All Your Glory Cranial Prosthetic LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IN ALL YOUR GLORY CRANIAL PROSTHETIC LLC

Practice address

2747 Atwood Ter
Columbus, OH 43211-1107

Phone

(937) 831-2490

Fax

(937) 831-2490

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Keshia Bailum

Title

Owner

Phone

(937) 831-2490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1386426344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TWIN RIVERS DR UNIT 1930",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432168065",
            "telephone_number": "937-831-2490",
            "fax_number": "937-831-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 ATWOOD TER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111107",
            "telephone_number": "937-831-2490",
            "fax_number": "937-831-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN ALL YOUR GLORY CRANIAL PROSTHETIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "BAILUM",
        "authorized_official_first_name": "KESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-831-2490"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Columbus, OH
• Providers in Columbus, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.