Active NPI
Hair to Stay Boutique LLC
- Durable Medical Equipment & Medical Supplies
- Waite Park, MN
National Provider Identifier
1841115144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.