Queens and Crowns Hair Boutique LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

QUEENS AND CROWNS HAIR BOUTIQUE LLC

Practice address

4597 Saint Elmo Ave
Memphis, TN 38128-2459

Phone

(901) 446-8262

Fax

(901) 328-6370

NPI assigned

May 12, 2023

Organization subpart

No

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

Authorized official

Name

Tijuana Stewart

Title

Owner

Phone

(901) 446-8262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1558051391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80735",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381080735",
            "telephone_number": "901-446-8262",
            "fax_number": "901-328-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4597 SAINT ELMO AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282459",
            "telephone_number": "901-446-8262",
            "fax_number": "901-328-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS AND CROWNS HAIR BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TIJUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-446-8262"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Memphis, TN
• Providers in Memphis, TN by specialty
• Customized Equipment (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.