Active NPI
Manetain Hair Studio and Accessories,LLC
- Prosthetics Case Management
- Beaufort, SC
National Provider Identifier
1871961490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68373 | Other | SC | CERTIFIED HAIR LOSS SPECIALIST |
National Provider Directory
National Provider DirectoryLocations
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.