Renew You Wig & Aesthetics LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RENEW YOU WIG & AESTHETICS LLC

Practice address

2462 White Memorial Church Rd
Willow Spring, NC 27592-8856

Phone

(347) 743-5459

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quiyara Foreman

Title

Owner

Phone

(347) 743-5459

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1730752833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 WHITE MEMORIAL CHURCH RD",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 WHITE MEMORIAL CHURCH RD",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928856",
            "telephone_number": "347-743-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOU WIG & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "QUIYARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-743-5459"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSMETOLOGY LICENSE",
            "identifier": "85266",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.renewyouwigandaesthetics.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2462 White Memorial Church Rd",
            "city": "Willow Spring",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275928856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Agency in Willow Spring, NC
• Providers in Willow Spring, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.