Keava'S Hair Castle LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KEAVA'S HAIR CASTLE LLC

Practice address

3303 Airline Blvd Ste 3F
Portsmouth, VA 23701-2635

Phone

(804) 365-2102

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Carrie B RawlsNPI 1881289072

Title

Medical Wig Provider

Phone

(804) 365-2102

Specialties & licenses 1

Addresses

Other names 1

• KeAva's Hair Castle LLC Former legal business name

Locations

Practitioners 1

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

• Carrie Beatrice Rawls

  • Prosthetic/Orthotic Supplier
  • Portsmouth, VA
  • NPI 1881289072
  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1538857115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 AIRLINE BLVD STE 3F",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012635",
            "telephone_number": "804-365-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 AIRLINE BLVD STE 3F",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012635",
            "telephone_number": "804-365-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAVA'S HAIR CASTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "RAWLS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL WIG PROVIDER",
        "authorized_official_telephone_number": "804-365-2102"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KeAva's Hair Castle LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• KDJ Transport LLC
• Shirley Ke
• William Stephen Kean, DO
• Kearneys Family Services LLC
• Jaquisha C Kearson, M.S.
• Michelle Lynn Kee, AU.D.
• Kevin Joseph Keeley, PHARMD
• Oritia Keen
• Joshua Israel Keil, OD
• Kyle Vincent Keinath, M.S., D.O.

• Prosthetic/Orthotic Supplier in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.