Covered Care Hair Loss Center, LLC

Key facts

NPI

1740810985

Entity type

Organization (NPI type 2)

Primary specialty

Customized Equipment (DME) 332BC3200X

Legal business name

COVERED CARE HAIR LOSS CENTER, LLC

Practice address

5801 Allentown Road
Suite 304
Camp Springs, MD 20746

Phone

(301) 453-5955

NPI assigned

Jan 15, 2020

Organization subpart

No

Authorized official

Name

Tashiek Hawkins

Title

Owner

Phone

(301) 453-5955

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Covered Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2020.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1740810985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN ROAD",
            "address_2": "SUITE 304",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "20746",
            "telephone_number": "301-453-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN ROAD",
            "address_2": "SUITE 304",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "20746",
            "telephone_number": "301-453-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVERED CARE HAIR LOSS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "TASHIEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-453-5955"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covered Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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