Evolution Hair Company LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

EVOLUTION HAIR COMPANY LLC

Practice address

17825 W 7 Mile Rd
Detroit, MI 48235-3052

Phone

(313) 693-9722

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Jeffery L Hudson

Title

Owner

Phone

(313) 282-5654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669969903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353052",
            "telephone_number": "313-693-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HAIR COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-282-5654"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Detroit, MI
• Providers in Detroit, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.