Organization Active NPI

Hair to Stay Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • Waite Park, MN
National Provider Identifier
1841115144
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HAIR TO STAY BOUTIQUE LLC
Practice address
508 3Rd St N
Waite Park, MN 56387-1121
Phone
(320) 774-3377
NPI assigned
Aug 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Miranda Gajeski
Title
Ceo
Phone
(320) 291-0697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

508 3Rd St N
Waite Park, MN 56387-1121

Mailing address

673 17TH St S
Sartell, MN 56377-2166
Phone (320) 291-0697

National Provider Directory

National Provider Directory

Locations

508 3rd St N
Waite Park, MN 56387

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1841115144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 17TH ST S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772166",
            "telephone_number": "320-291-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 3RD ST N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871121",
            "telephone_number": "320-774-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR TO STAY BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "GAJESKI",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-291-0697"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.