Active NPI
Hlca Salon
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1497105282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- COSA053764
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.