Inner City Bleus LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNER CITY BLEUS LLC

Practice address

5220 E 7 Mile Rd
Detroit, MI 48234-2358

Phone

(313) 717-8952

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Deyonta Newsome

Title

License Barber/Hair Loss Specialist

Phone

(313) 717-8952

Specialties & licenses 1

Addresses

Other names 1

• Inner City Bleu's Classic Cutz Other name

Tax ID family

Inner City Bleu's Classic Cutz3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Inner City Bleus Classic Cutz

  • Prosthetist
  • Detroit, MI
  • NPI 1003578113
  NPD tax ID
• Inner City Bleus LLC

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
  • NPI 1427709856
  NPD tax ID

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1699426023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342358",
            "telephone_number": "313-717-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342358",
            "telephone_number": "313-717-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY BLEUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "DEYONTA",
        "authorized_official_title_or_position": "LICENSE BARBER/HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "313-717-8952"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner City Bleu's Classic Cutz",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Constance M Inman, PA
• Mary Katherine Inman
• Inner Cadence Counseling LLC
• Inner City Bleus Classic Cutz
• Inner City Bleus LLC
• Inner Justice Works PLLC
• Inner Light Wellness Services LLC
• Innersight Diagnostics
• Innervisions of Michigan
• Joy Elizabeth Inniss-Johnson, LPC, CRC, CAAC, CCS

• Prosthetic/Orthotic Supplier in Detroit, MI
• Providers in Detroit, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.