Organization Active NPI

Beauty Vault Lux LLC.

  • Prosthetic/Orthotic Supplier
  • Hollywood, FL
National Provider Identifier
1609486737
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BEAUTY VAULT LUX LLC.
Practice address
5100 SW 41St St
Hollywood, FL 33023-6948
Phone
(786) 278-9069
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Gessy RigaudNPI 1790397875
Title
Owner
Phone
(786) 278-9069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5100 SW 41St St
Hollywood, FL 33023-6948

Mailing address

5100 SW 41St
Apt 115
Hollywood, FL 33023-6988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1609486737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 SW 41ST",
            "address_2": "APT 115",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SW 41ST ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236948",
            "telephone_number": "786-278-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY VAULT LUX LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "RIGAUD",
        "authorized_official_first_name": "GESSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-278-9069"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.