Illusion Hair Industries LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ILLUSION HAIR INDUSTRIES LLC

Practice address

540 NW 165TH Street Rd Ste 109
Miami, FL 33169-6304

Phone

(954) 471-5170

NPI assigned

Feb 23, 2019

Organization subpart

No

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

Authorized official

Name

Miss Olajide A WilkersonNPI 1356805642

Title

Manager

Phone

(954) 471-5170

Specialties & licenses 1

Addresses

Other names 1

• Hair Goddess Boutique 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.

• Olajide A Wilkerson

  • Prosthetics Case Management
  • Miami, FL
  • NPI 1356805642
  NPD (past) Authorized official

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1467919670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 DAVIE BLVD UNIT 73",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122927",
            "telephone_number": "954-471-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW 165TH STREET RD STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696304",
            "telephone_number": "954-471-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUSION HAIR INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "OLAJIDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-471-5170",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hair Goddess Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfa Osiris Illescas, MSOTR/L
• Liliana Illescas, LMT
• Edward Harris Illions, M.D.
• Illuminate Therapy, LLC
• Illuminating Lives Corp
• Illusion Optical Design, Inc.
• Illusions Home Care Services, Inc
• Illusions Home Care Services, Inc
• Ils HHA of Region 11, LLC
• Ils HHA of Region 11, LLC

• Prosthetic/Orthotic Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.