Taylor Made Boutique & Beauty Supply LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

TAYLOR MADE BOUTIQUE & BEAUTY SUPPLY LLC

Doing business as

Taylor Made Beauty Supply LLC

Practice address

2000 S University Ave Ste L
Little Rock, AR 72204-3603

Phone

(501) 615-8007

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Latosha PerkinsNPI 1184301715

Title

Vice President

Phone

(501) 681-6546

Specialties & licenses 1

Addresses

Other names 1

• Taylor Made Beauty Supply LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latosha Perkins

  • Specialist
  • Little Rock, AR
  • NPI 1184301715
  NPD Authorized official

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1417638891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S UNIVERSITY AVE STE L",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043603",
            "telephone_number": "501-615-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S UNIVERSITY AVE STE L",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722043603",
            "telephone_number": "501-615-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE BOUTIQUE & BEAUTY SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "501-681-6546"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Made Beauty Supply LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Tasneem, MD
• Cynthia R Tate, ANP
• Jaylon Tate
• Megan M Tate, BCBA
• Richard Charles Tate, D.D.S.
• Taylor Obstetrics and Gynecology Clinic PLLC
• Alexandra Taylor, DO
• Alexis Nicole Taylor
• Allison Taylor
• Angela Jeanette Taylor

• Prosthetic/Orthotic Supplier in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Prosthetic/Orthotic Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.