Organization Active NPI

Hlca Salon

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1497105282
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
COSA053764 Issued in GA
Legal business name
HLCA SALON
Practice address
400 W Peachtree St NW
Unit# 3413
Atlanta, GA 30308-3536
Phone
(404) 750-2378
Fax
(404) 581-5911
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Winston Liburd
Title
Owner
Phone
(404) 750-2378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X COSA053764 GA Primary

Addresses

Primary practice location

400 W Peachtree St NW
Unit# 3413
Atlanta, GA 30308-3536

Mailing address

400 W Peachtree St NW
Unit# 3413
Atlanta, GA 30308-3536
Phone (404) 750-2378

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1497105282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PEACHTREE ST NW",
            "address_2": "UNIT# 3413",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083536",
            "telephone_number": "404-750-2378",
            "fax_number": "404-581-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PEACHTREE ST NW",
            "address_2": "UNIT# 3413",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083536",
            "telephone_number": "404-750-2378",
            "fax_number": "404-581-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HLCA SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LIBURD",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-750-2378"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "COSA053764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.