Her Glory Hair LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HER GLORY HAIR LLC

Practice address

730 W Cheyenne Ave Ste 150
North Las Vegas, NV 89030-7852

Phone

(702) 580-6625

NPI assigned

Dec 14, 2023

Organization subpart

No

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

Authorized official

Name

Klaiton JohnsonNPI 1578108841

Title

Manager/Owner

Phone

(702) 580-6625

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Klaiton Markell Johnson

  • Behavior Technician
  • North Las Vegas, NV
  • NPI 1578108841
  NPD Authorized official

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1689442196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 W CENTENNIAL PKWY UNIT 2018",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311646",
            "telephone_number": "702-580-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W CHEYENNE AVE STE 150",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307852",
            "telephone_number": "702-580-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER GLORY HAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KLAITON",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "702-580-6625"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie D Henry
• Lee Ann Henson-Casey
• Amanda Henson
• Christopher Henson
• Kimberly Hepburn
• Here Behavioral Health LLC
• Here Too Help Community Services LLC
• Jennifer M Hermanson
• Maria Linda Hernandez de Rodriguez
• Yanelis Hernandez Iglesia

• Prosthetic/Orthotic Supplier in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.