Organization Active NPI

Manetain Hair Studio and Accessories,LLC

  • Prosthetics Case Management
  • Beaufort, SC
National Provider Identifier
1871961490
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
MANETAIN HAIR STUDIO AND ACCESSORIES,LLC
Practice address
2451 Boundary St
B
Beaufort, SC 29906-3770
Phone
(843) 441-4374
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Mrs. Taquana L Heyward
Title
Certified Hair Loss Specialist
Phone
(843) 441-4374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X SC Primary

Addresses

Primary practice location

2451 Boundary St
B
Beaufort, SC 29906-3770

Mailing address

158 Dulamo Rd
Saint Helena Island, SC 29920-3311
Phone (843) 441-4374

Other identifiers 1

IdentifierTypeStateIssuer
68373OtherSCCERTIFIED HAIR LOSS SPECIALIST

National Provider Directory

National Provider Directory

Locations

2451 Boundary St
#B
Beaufort, SC 29906
Phone (843) 441-4374

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1871961490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DULAMO RD",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299203311",
            "telephone_number": "843-441-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 BOUNDARY ST",
            "address_2": "B",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299063770",
            "telephone_number": "843-441-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANETAIN HAIR STUDIO AND ACCESSORIES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "HEYWARD",
        "authorized_official_first_name": "TAQUANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "843-441-4374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED HAIR LOSS SPECIALIST",
            "identifier": "68373",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.