Organization Active NPI

Exquisite Hair & Replacement LLC

  • Prosthetics Case Management
  • Cocoa, FL
National Provider Identifier
1568908671
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
EXQUISITE HAIR & REPLACEMENT LLC
Practice address
1631 N Cocoa Blvd
Cocoa, FL 32922-6935
Phone
(407) 761-6238
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Cynthia Freeman
Title
Ceo
Phone
(407) 761-6238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

1631 N Cocoa Blvd
Cocoa, FL 32922-6935

Mailing address

1631 N Cocoa Blvd
Cocoa, FL 32922-6935

National Provider Directory

National Provider Directory

Locations

1631 N Cocoa Blvd
Cocoa, FL 32922
Phone (321) 632-8855

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1568908671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226935",
            "telephone_number": "407-761-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE HAIR & REPLACEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-761-6238"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.