Organization Active NPI

Heaven on Earth Salon LLC

  • Prosthetic/Orthotic Supplier
  • Toledo, OH
National Provider Identifier
1659664407
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
953162 Issued in OH
Legal business name
HEAVEN ON EARTH SALON LLC
Practice address
1612 W Sylvania Ave
Toledo, OH 43612-1589
Phone
(419) 917-1268
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Mrs. Veronica L Fletcher, SPECIALIST
Title
Prosthetic Specialist /Cosm.
Phone
(419) 917-1268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 953162 OH Primary

Addresses

Primary practice location

1612 W Sylvania Ave
Toledo, OH 43612-1589

Mailing address

1612 W Sylvania Ave
Toledo, OH 43612-1589
Phone (419) 917-1268

National Provider Directory

National Provider Directory

Locations

1612 W Sylvania Ave
Toledo, OH 43612
Phone (419) 917-1268

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1659664407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121589",
            "telephone_number": "419-917-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121589",
            "telephone_number": "419-917-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN ON EARTH SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROSTHETIC SPECIALIST /COSM.",
        "authorized_official_telephone_number": "419-917-1268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "953162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.