Wave Hair Collection LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WAVE HAIR COLLECTION LLC

Practice address

14417 Sundial PL
Lakewood Ranch, FL 34202-5896

Phone

(941) 216-5184

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Kerri Lillestol

Title

Owner

Phone

(941) 216-5184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1699557496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 STATE ROAD 70 E # 235",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14417 SUNDIAL PL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025896",
            "telephone_number": "941-216-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE HAIR COLLECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "LILLESTOL",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-216-5184"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.