Islay LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

ISLAY LLC

Practice address

524 Park Ave W
Mansfield, OH 44906-3720

Phone

(419) 709-9663

NPI assigned

Feb 15, 2019

Organization subpart

No

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

Authorized official

Name

Trai'Shaun D Beard, ADVANCED COSMETOLOGI

Title

Ceo

Phone

(419) 709-9663

Specialties & licenses 1

Addresses

Other names 1

• AKUA HAIR CLINIC Doing business as

Locations

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1396201299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063720",
            "telephone_number": "419-709-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063720",
            "telephone_number": "419-709-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "TRAI'SHAUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-709-9663",
        "authorized_official_credential": "ADVANCED COSMETOLOGI"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKUA HAIR CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Interstate Optical Co., Inc.
• Interventional Spine and Pain Rehabilitation Center, LTD.
• Kayla M Ireland
• Melissa M Irwin, PA-C
• Sierra Isaac
• Carleigh L. Ison
• Paula L Ison, LPN
• Stephanie Istanich
• Timothy J Iten, D.D.S.
• Edward T Jachym, DMD

• Prosthetics Case Management in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Prosthetics Case Management in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.