Organization Active NPI

Ladies Health Boutique, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jasper, AL
National Provider Identifier
1891939633
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LADIES HEALTH BOUTIQUE, INC
Practice address
3608 Highway 78 E
Jasper, AL 35501-8909
Phone
(205) 221-7157
Fax
(205) 221-7159
NPI assigned
Apr 23, 2009
Organization subpart
Yes
Parent organization
LADIES HEALTH BOUTIQUE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Mrs. Carol S Morgan
Title
President
Phone
(205) 979-4377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3608 Highway 78 E
Jasper, AL 35501-8909

Mailing address

3608 Hyw 118E
Jasper, AL 35504
Phone (205) 221-7157

Other identifiers 2

IdentifierTypeStateIssuer
009981090MedicaidAL
51031506OtherALBSBC

Other names 1

  • FOR LADIES ONLY Doing business as

National Provider Directory

National Provider Directory
Part of
Ladies Health Boutiqueinc

Locations

3608 Highway 78 E
Jasper, AL 35501
Phone (205) 300-3577

650 Olde Towne Rd
Vestavia Hills, AL 35216
Phone (205) 979-4377

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1891939633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 HYW 118E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35504",
            "telephone_number": "205-221-7157",
            "fax_number": "205-822-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018909",
            "telephone_number": "205-221-7157",
            "fax_number": "205-221-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADIES HEALTH BOUTIQUE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LADIES HEALTH BOUTIQUE, INC",
        "enumeration_date": "2009-04-23",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-979-4377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009981090",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC",
            "identifier": "51031506",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOR LADIES ONLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.