Phenomenal Hair Replacement Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHENOMENAL HAIR REPLACEMENT SERVICES LLC

Practice address

9400 Two Notch Rd Ste E1
Columbia, SC 29223-5946

Phone

(803) 477-5243

Fax

(803) 753-4353

NPI assigned

Jan 17, 2020

Organization subpart

Yes

Parent organization

ANOINTED CUTS BARBER & BEAUTY LLCAs reported in NPPES

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

Authorized official

Name

Cathy J Mack, SPECIALISTNPI 1184040552

Title

Non Surgical Hair Replacement

Phone

(803) 477-5243

Specialties & licenses 1

Addresses

Other names 1

• ANOINTED CUTS Former legal business name

Part of

Anointed Cuts Barber Beauty LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Anointed Cuts Barber & Beauty LLC

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1730659491
  NPPES parent name

Practitioners 1

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

• Cathy J Mack, HAIR REPLACEMENT

  • Prosthetics Case Management
  • Columbia, SC
  • NPI 1184040552
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1497385454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 TWO NOTCH RD STE E1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235946",
            "telephone_number": "803-477-5243",
            "fax_number": "803-753-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 TWO NOTCH RD STE E1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235946",
            "telephone_number": "803-477-5243",
            "fax_number": "803-753-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL HAIR REPLACEMENT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANOINTED CUTS BARBER & BEAUTY LLC",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NON SURGICAL HAIR REPLACEMENT",
        "authorized_official_telephone_number": "803-477-5243",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANOINTED CUTS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Benjamin J. Phelps, D.O.
• Heather Bratt Phelps, LISW-CP, RYT-200
• Kenneth W Phelps, PHD, LMFT
• Lahartha Schretta Phelps
• Lauren Lynn Phelps
• Phenomenal Home Health Care LLP
• Philippians 4:13 Home Health & Medical Express, LLC
• Carly Hannah Phillips, LMSW
• Charles D. Phillips, MD
• Claire Carpenter Phillips, PSY.D.

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.