Organization Active NPI

Charlotte's Hair Line Inc.

  • Durable Medical Equipment & Medical Supplies
  • Perry Hall, MD
National Provider Identifier
1659439495
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHARLOTTE'S HAIR LINE INC.
Practice address
8710 Honeygo Blvd
Perry Hall, MD 21128-9822
Phone
(410) 933-4800
Fax
(410) 933-4803
NPI assigned
Dec 5, 2006
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Mrs. V Charlotte Turner
Title
Owner
Phone
(410) 933-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD Primary

Addresses

Primary practice location

8710 Honeygo Blvd
Perry Hall, MD 21128-9822

Mailing address

8710 Honeygo Blvd
Perry Hall, MD 21128-9822
Phone (410) 933-4800

Other identifiers 4

IdentifierTypeStateIssuer
408803400MedicaidMD
103513OtherMDJOHNS HOPKINS HEALTHCARE
1881400OtherMDCIGNA
MJ69CHOtherMDBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041054 MD DME Supplier - Prosthetic Personnel 8224149364 Practice locations: Perry Hall, MD

National Provider Directory

National Provider Directory

Locations

8710 Honeygo Blvd
Perry Hall, MD 21128
Phone (410) 933-4800

8710 Honeygo Blvd
#A
Perry Hall, MD 21128
Phone (410) 933-4800

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1659439495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 HONEYGO BLVD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289822",
            "telephone_number": "410-933-4800",
            "fax_number": "410-933-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 HONEYGO BLVD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289822",
            "telephone_number": "410-933-4800",
            "fax_number": "410-933-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE'S HAIR LINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-933-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408803400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "103513",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1881400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "MJ69CH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.