Active NPI
Charlotte's Hair Line Inc.
- Durable Medical Equipment & Medical Supplies
- Perry Hall, MD
National Provider Identifier
1659439495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408803400 | Medicaid | MD | |
| 103513 | Other | MD | JOHNS HOPKINS HEALTHCARE |
| 1881400 | Other | MD | CIGNA |
| MJ69CH | Other | MD | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041054 | MD | DME Supplier - Prosthetic Personnel | 8224149364 | Practice locations: Perry Hall, MD |
National Provider Directory
National Provider DirectoryLocations
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.