Organization Active NPI

Custom Ce LLC

  • Prosthetics Case Management
  • Cincinnati, OH
National Provider Identifier
1609474535
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
CUSTOM CE LLC
Doing business as
The Hair Center Cincinnati
Practice address
4224 Chambers St
Cincinnati, OH 45223-1826
Phone
(513) 331-3071
NPI assigned
Oct 13, 2020
Organization subpart
Yes
Parent organization
CUSTOM CE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Jasmine Patrice Davis, CERTIFIED HAIR LOSS
Title
Educational Director
Phone
(513) 331-3071

Specialties & licenses 1

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

Addresses

Primary practice location

4224 Chambers St
Cincinnati, OH 45223-1826

Mailing address

4224 Chambers St
Cincinnati, OH 45223-1826
Phone (513) 331-3071

Other names 1

  • The Hair Center Cincinnati Doing business as

National Provider Directory

National Provider Directory
Part of
Custom Ce LLC

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1609474535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 CHAMBERS ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452231826",
            "telephone_number": "513-331-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 CHAMBERS ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452231826",
            "telephone_number": "513-331-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUSTOM CE LLC",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "EDUCATIONAL DIRECTOR",
        "authorized_official_telephone_number": "513-331-3071",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hair Center Cincinnati",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hair Center Cincinnati",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.