A Diva'S Dream Salon LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

A DIVA'S DREAM SALON LLC

Practice address

23054 Emery Rd
Warrensville Heights, OH 44128-5135

Phone

(216) 292-1313

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Reesa Lanette Brown, CERTIFIED HAIR LOSS

Title

Certified Hair Loss Specialis

Phone

(216) 292-1313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1780197285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23054 EMERY RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285135",
            "telephone_number": "216-292-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23054 EMERY RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285135",
            "telephone_number": "216-292-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIVA'S DREAM SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REESA",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIS",
        "authorized_official_telephone_number": "216-292-1313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Warrensville Heights, OH
• Prosthetics Case Management in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.